NPIMap

Organization Active NPI

Carolinas Medical Alliance Inc

  • Internal Medicine Physician
  • Florence, SC
National Provider Identifier
1679970867
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINAS MEDICAL ALLIANCE INC
Practice address
1590 Freedom Blvd Ste C
Florence, SC 29505-6071
Phone
(843) 674-1657
Fax
(843) 674-6804
NPI assigned
Dec 3, 2014
Organization subpart
Yes
Parent organization
CHS/COMMUNITY HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Pat Wright
Title
Director
Phone
(615) 465-7633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1590 Freedom Blvd Ste C
Florence, SC 29505-6071

Mailing address

1590 Freedom Blvd Ste C
Florence, SC 29505-6071
Phone (843) 674-1657

Other names 1

  • Carolinas Medical Alliance Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake City Family Medici3 organizations share this tax ID, including this one
Part of
CHS Community Health Systems Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1590 Freedom Blvd
Ste C
Florence, SC 29505
Phone (843) 662-3221

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1679970867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 FREEDOM BLVD STE C",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056071",
            "telephone_number": "843-674-1657",
            "fax_number": "843-674-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 FREEDOM BLVD STE C",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056071",
            "telephone_number": "843-674-1657",
            "fax_number": "843-674-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL ALLIANCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS/COMMUNITY HEALTH SYSTEMS, INC.",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7633"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Medical Alliance Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.