Pilot Club of Orangeburg Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PILOT CLUB OF ORANGEBURG FOUNDATION

Practice address

161 Center St
Pilot Club of Orangeburg Foundation
Orangeburg, SC 29115

Phone

(803) 534-1717

Fax

(803) 534-1877

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra W Haigler

Title

Foundation Manager

Phone

(803) 534-1717

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1710161575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2282",
            "address_2": "PILOT CLUB OF ORANGEBURG FOUNDATION",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291162282",
            "telephone_number": "803-534-1717",
            "fax_number": "803-543-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CENTER ST",
            "address_2": "PILOT CLUB OF ORANGEBURG FOUNDATION",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "803-534-1717",
            "fax_number": "803-534-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILOT CLUB OF ORANGEBURG FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "HAIGLER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FOUNDATION MANAGER",
        "authorized_official_telephone_number": "803-534-1717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1174",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Pettway, DNP, PNP-PC
• Amy Quynh-Trang Pham, MD
• Physicians Footcare Orangeburg LLC
• Pickering Prosthetics
• Alvin W. Pickering, C.P.,R.O.F.
• Payton Cheyenne Pilot
• Ramona S Pinckney
• Charles E Pinta Jr., ATC
• Charlee Caroline Pittman, DO
• Linda Quick Pittman, MA,CCC-SLP

• Durable Medical Equipment & Medical Supplies in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.