NPIMap

Organization Active NPI

Laurens County Healthcare System Dba Carolina Womens Center

  • Obstetrics & Gynecology Physician
  • Clinton, SC
National Provider Identifier
1841580230
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15652 Issued in SC
Legal business name
LAURENS COUNTY HEALTHCARE SYSTEM DBA CAROLINA WOMENS CENTER
Practice address
102 Medical Park CT
Clinton, SC 29325-7537
Phone
(864) 938-0087
Fax
(864) 938-0229
NPI assigned
Apr 19, 2011
Last updated
Apr 19, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
LAURENS COUNTY HEALTH CARE SYSTEM DBA CAROLINA WOMENS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Mr. Willis J Grant IV
Title
VP and Cfo of Lchcs
Phone
(864) 833-3976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15652 SC Primary

Addresses

Primary practice location

102 Medical Park CT
Clinton, SC 29325-7537

Mailing address

102 Medical Park CT
Clinton, SC 29325-7537
Phone (864) 938-0087

National Provider Directory

National Provider Directory
Tax ID family
Lchcs Dba Wilson and McCormack Surgical Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

102 Medical Park Ct
Clinton, SC 29325
Phone (864) 358-7387

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1841580230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEDICAL PARK CT",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257537",
            "telephone_number": "864-938-0087",
            "fax_number": "864-938-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL PARK CT",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257537",
            "telephone_number": "864-938-0087",
            "fax_number": "864-938-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS COUNTY HEALTHCARE SYSTEM DBA CAROLINA WOMENS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAURENS COUNTY HEALTH CARE SYSTEM DBA CAROLINA WOMENS CENTER",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP AND CFO OF LCHCS",
        "authorized_official_telephone_number": "864-833-3976",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "15652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.