Organization Active NPI

Palmetto State Staffing Group, LLC

  • Infusion Therapy Clinic/Center
  • Florence, SC
National Provider Identifier
1932132073
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
07141 Issued in SC
Legal business name
PALMETTO STATE STAFFING GROUP, LLC
Practice address
113 Cherokee Rd
Suite 2
Florence, SC 29501-5247
Phone
(843) 413-0609
Fax
(843) 413-0626
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Homer Franklin Gamble, MD
Title
Partner
Phone
(843) 413-0609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 07141 SC Primary

Addresses

Primary practice location

113 Cherokee Rd
Suite 2
Florence, SC 29501-5247

Mailing address

113 Cherokee Rd
Suite 2
Florence, SC 29501-5247
Phone (843) 413-0609

Other identifiers 1

IdentifierTypeStateIssuer
207141MedicaidSC

National Provider Directory

National Provider Directory

Locations

113 Cherokee Rd
Ste 2
Florence, SC 29501
Phone (843) 413-0609

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932132073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHEROKEE RD",
            "address_2": "SUITE 2",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015247",
            "telephone_number": "843-413-0609",
            "fax_number": "843-413-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CHEROKEE RD",
            "address_2": "SUITE 2",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015247",
            "telephone_number": "843-413-0609",
            "fax_number": "843-413-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO STATE STAFFING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "HOMER",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-413-0609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "SC",
            "license": "07141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207141",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.