SANTEE FAMILY MEDICAL CENTER NPI 1326217654

NPI Information

NPI: 1326217654
Provider Name: SANTEE FAMILY MEDICAL CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 42D0701787

Address:
130 PLAZA CIR
SANTEE, SC
ZIP 29142
Phone: (803) 854-3940
Get Directions

SANTEE FAMILY MEDICAL CENTER is a primary care clinic center in Santee, SC. SANTEE FAMILY MEDICAL CENTER NPI is 1326217654. The provider is registered as an organization entity type.

The provider's business location address is:

130 PLAZA CIR
SANTEE, SC
ZIP 29142-630
Phone: (803) 854-3940
Fax: (803) 854-3945

The provider's authorized official is Gossie C Heath Mathis .
The authorized official title is Owner and has the following contact phone number (803) 854-3940.

The CLIA number assigned to this NPI record is 42D0701787 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 7/9/2010.

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	261Q00000X	Clinic/Center		13454	SOUTH CAROLINA	No
2	261QP2300X	Clinic/Center	Primary Care	13454	SOUTH CAROLINA	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	D17937	MEDICARE UPIN	SOUTH CAROLINA
2	3828	MEDICARE PIN	SOUTH CAROLINA
3	GPO261	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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »