ST JAMES HEALTH AND WELLNESS INC NPI 1629639760

NPI Information

NPI: 1629639760
Provider Name: ST JAMES HEALTH AND WELLNESS INC

Former Legal Business Name: ST JAMES SANTEE RURAL HEALTH PROGRAM

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
13072 COUNTY LINE RD
ANDREWS, SC
ZIP 29510
Phone: (843) 990-7993
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ST JAMES HEALTH AND WELLNESS INC is a federally qualified health center (fqhc) clinic center in Andrews, SC. ST JAMES HEALTH AND WELLNESS INC NPI is 1629639760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is St James Santee Rural Health Program.

The provider's business location address is:

13072 COUNTY LINE RD
ANDREWS, SC
ZIP 29510-811
Phone: (843) 990-7993
Fax: (843) 887-3817

The provider's authorized official is Sandra D Gilliard .
The authorized official title is Ceo and has the following contact phone number (843) 887-3274.

The enumeration date for this NPI number is 6/27/2019 and was last updated on 6/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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