NPIMap

Organization Active NPI

St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
National Provider Identifier
1902468697
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ST JOSEPHS CANDLER URGENT CARE CENTERS LLC
Practice address
3 Progressive St
Bluffton, SC 29910-5165
Phone
(843) 548-0533
Fax
(843) 815-9121
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Tamara White
Title
VP, Rev Cycle Services
Phone
(225) 214-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3 Progressive St
Bluffton, SC 29910-5165

Mailing address

P.O. Box 415000
MSC 8071
Nashville, TN 37241-8071
Phone (843) 548-0533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190703000534 SC DME Supplier - Multi-Specialty - Physician 5092058016 Practice locations: Bluffton, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

64 Oracal Pkwy
Bldg 1
Ellabell, GA 31308
Phone (912) 214-7920

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

3866 Belfast Keller Rd
Ste 104
Richmond Hill, GA 31324
Phone (912) 910-2720

1096 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-5150

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1902468697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 415000",
            "address_2": "MSC 8071",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418071",
            "telephone_number": "843-548-0533",
            "fax_number": "843-815-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROGRESSIVE ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105165",
            "telephone_number": "843-548-0533",
            "fax_number": "843-815-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS CANDLER URGENT CARE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "VP, REV CYCLE SERVICES",
        "authorized_official_telephone_number": "225-214-1031"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.