CARETEAM PLUS INC. NPI 1427363209

NPI Information

NPI: 1427363209
Provider Name: CARETEAM PLUS, INC.
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 42D1063265
Address: 100 PROFESSIONAL PARK DRIVE
CONWAY, SC
ZIP 29526
Phone: (843) 234-0005

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NPI Details

CARETEAM PLUS, INC. is a primary care clinic center in Conway, SC. CARETEAM PLUS, INC. NPI is 1427363209. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 PROFESSIONAL PARK DRIVE
CONWAY, SC
ZIP 29526-260
Phone: (843) 234-0005
Fax: (843) 234-8235

The provider's authorized official is Julia Wren .
The authorized official title is Medical Director and has the following contact phone number (843) 234-0005.

The CLIA number assigned to this NPI record is 42D1063265 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2010 and was last updated on 2/7/2020.

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	174400000X	Specialist		No
2	261QP2300X	Clinic/Center	Primary Care	Yes
3	171M00000X	Case Manager/Care Coordinator		No

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	Other Provider Identifier Issuer
1	GP5499	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: 3/30/2025

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