MEDICAL CENTER OF SANTEE LLC NPI 1114935475

NPI Information

NPI: 1114935475
Provider Name: MEDICAL CENTER OF SANTEE LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 42D1063227

Address:
500 BASS DRIVE
SANTEE, SC
ZIP 29142
Phone: (803) 854-3805
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MEDICAL CENTER OF SANTEE LLC is a rural health clinic center in Santee, SC. MEDICAL CENTER OF SANTEE LLC NPI is 1114935475. The provider is registered as an organization entity type.

The provider's business location address is:

500 BASS DRIVE
SANTEE, SC
ZIP 29142
Phone: (803) 854-3805
Fax: (803) 854-3810

The provider's authorized official is Monnie Singleton .
The authorized official title is Manager and has the following contact phone number (803) 535-3600.

The CLIA number assigned to this NPI record is 42D1063227 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/26/2014.

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	Primary
1	261QP2300X	Clinic/Center	Primary Care	No
2	207Q00000X	Family Medicine		No
3	261QR1300X	Clinic/Center	Rural Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8944	MEDICARE PIN	SOUTH CAROLINA
2	E12472	MEDICARE UPIN	SOUTH CAROLINA
3	GP4482	MEDICAID	SOUTH CAROLINA
4	428986	MEDICARE OSCAR/CERTIFICATION	SOUTH CAROLINA
5	RHC172	MEDICAID	SOUTH CAROLINA

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

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