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Contact Information

CARESOUTH CAROLINA, INC.
101 HARRIS ST
BISHOPVILLE, SC29010-1601
 Phone: 803-588-7940
 Fax: 803-588-7945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CARESOUTH CAROLINA, INC.

NPI # 1124580865
LBN Legal business name CARESOUTH CAROLINA, INC.
Authorized official ANN LEWIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2019
Last updated 06/11/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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