EDISTO REGIONAL HEALTH SERVICES INC. NPI 1487701157

NPI Information

NPI: 1487701157
Provider Name: EDISTO REGIONAL HEALTH SERVICES INC.

Doing Business As: RMC PRIMARY CARE BRANCHVILLE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
215 DORANGE RD
BRANCHVILLE, SC
ZIP 29432
Phone: (803) 274-8400
Get Directions

EDISTO REGIONAL HEALTH SERVICES INC. is a rural health clinic center in Branchville, SC. EDISTO REGIONAL HEALTH SERVICES INC. NPI is 1487701157. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rmc Primary Care Branchville.

The provider's business location address is:

215 DORANGE RD
BRANCHVILLE, SC
ZIP 29432-241
Phone: (803) 274-8400
Fax: (803) 274-8817

The provider's authorized official is Cheryl S. Mason .
The authorized official title is C.f.o. and has the following contact phone number (803) 395-2224.

The CLIA number assigned to this NPI record is 42D0251019 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 10/19/2015.

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	207Q00000X	Family Medicine				No
2	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	Other Provider Identifier Issuer
1	CN8991	OTHER	SOUTH CAROLINA	RRMEDICARE
2	5677	MEDICARE PIN	SOUTH CAROLINA
3	CK8831	OTHER	SOUTH CAROLINA	RRMEDICARE
4	RHC165	MEDICAID	SOUTH CAROLINA
5	GP4574	MEDICAID	SOUTH CAROLINA
6	012	OTHER	SOUTH CAROLINA	TRICARE
7	012	OTHER	SOUTH CAROLINA	BCBS
8	423856	OTHER	SOUTH CAROLINA	MEDICARE RURAL HEALTH NUMBER
9	012	OTHER	SOUTH CAROLINA	BLUECHOICE

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: 4/28/2024

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 »