NPIMap

Organization Active NPI

SC Healthcare Investments LLC

Doing business as Williston Family Practice

  • Rural Health Clinic/Center
  • Williston, SC
National Provider Identifier
1720487200
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
HTL0485 Issued in SC
Legal business name
SC HEALTHCARE INVESTMENTS LLC
Doing business as
Williston Family Practice
Practice address
45 Roundtree St
Williston, SC 29853-2303
Phone
(803) 266-3600
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Mrs. Mary T Valliant
Title
Ceo
Phone
(803) 259-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X HTL0485 SC Primary

Addresses

Primary practice location

45 Roundtree St
Williston, SC 29853-2303

Mailing address

45 Roundtree St
Williston, SC 29853-2303
Phone (803) 266-3600

Other names 1

  • WILLISTON FAMILY PRACTICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blackville Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1720487200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROUNDTREE ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298532303",
            "telephone_number": "803-266-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROUNDTREE ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298532303",
            "telephone_number": "803-266-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC HEALTHCARE INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "VALLIANT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-259-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "HTL0485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLISTON FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.