Cambridge Healthcare Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

14779 Issued in SC

Legal business name

CAMBRIDGE HEALTHCARE INC.

Practice address

416 Roberston Blvd.
Suite E
Walterboro, SC 29488-2952

Phone

(843) 549-2727

Fax

(843) 549-2707

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Shelbourne

Title

Vice President

Phone

(843) 549-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sleep Lab of Walterboro Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1659424174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1943",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880020",
            "telephone_number": "843-549-2727",
            "fax_number": "843-549-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ROBERSTON BLVD.",
            "address_2": "SUITE E",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882952",
            "telephone_number": "843-549-2727",
            "fax_number": "843-549-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SHELBOURNE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-549-2727"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "SC",
            "license": "14779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL0065",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Lab of Walterboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy A Burnham, RN
• Andrew Fenters Calcutt, MD
• Vonda Gilgen Calcutt, MD
• Lauren Forster Callison, DMD
• Beverly Calloway, RN
• David Campbell, D.C.
• Cannady Agency Inc.
• Trent Edward Cannon, M.D.
• Capital Care Resources of South Carolina, LLC
• Carolina Eyecare Physicians, LLC

• All providers in Walterboro, SC
• Sleep Disorder Diagnostic Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.