NPIMap

Organization Active NPI

Marion Regional Healthcare System

Doing business as Advanced Medical Associates

  • Rural Health Clinic/Center
  • Mullins, SC
National Provider Identifier
1972553691
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARION REGIONAL HEALTHCARE SYSTEM
Doing business as
Advanced Medical Associates
Practice address
511 S Main St
Mullins, SC 29574-3509
Phone
(843) 464-8244
Fax
(843) 464-6519
NPI assigned
May 11, 2006
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MARION REGIONAL HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Harold E Tucker
Title
Ceo
Phone
(843) 431-2405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X SC Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

511 S Main St
Mullins, SC 29574-3509

Mailing address

PO Box 388
Mullins, SC 29574-0388
Phone (843) 464-8244

Other identifiers 4

IdentifierTypeStateIssuer
428956OtherSCMEDICARE RHC
8178OtherSCMEDICARE ID TYPE UNSPECIFIED
428956OtherSCOSCAR
PA3013MedicaidSC

Other names 1

  • Advanced Medical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Marion Regional Healthcare

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1972553691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295740388",
            "telephone_number": "843-464-8244",
            "fax_number": "843-464-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743509",
            "telephone_number": "843-464-8244",
            "fax_number": "843-464-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION REGIONAL HEALTHCARE SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION REGIONAL HEALTHCARE SYSTEM",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-431-2405"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RHC",
            "identifier": "428956",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "8178",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR",
            "identifier": "428956",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA3013",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.