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TANDEM HEALTH SC NPI 1811973068


NPI Information

NPI: 1811973068
Provider Name: TANDEM HEALTH SC

Doing Business As: SUMTER FAMILY HEALTH CENTER - PINEWOOD

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 42D2294777

Address:
25 E CLARK ST
PINEWOOD, SC
ZIP 29125
Phone: (803) 774-4516
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TANDEM HEALTH SC is a federally qualified health center (fqhc) clinic center in Pinewood, SC. TANDEM HEALTH SC NPI is 1811973068. The provider is registered as an organization entity type.
The provider Is Doing Business As Sumter Family Health Center - Pinewood.

The provider's business location address is:

25 E CLARK ST
PINEWOOD, SC
ZIP 29125-989
Phone: (803) 774-4516
Fax: (803) 452-5712

The provider's authorized official is Annie Brown Geddings .
The authorized official title is Ceo and has the following contact phone number (803) 774-4500.

The CLIA number assigned to this NPI record is 42D2294777 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 10/14/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1372048MEDICAIDSOUTH CAROLINA
2FQC048MEDICAIDSOUTH 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: 4/28/2024

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