St James Santee Family Health Center Inc

LBN: St James Health And Wellness Inc
St James Santee Family Health Center Inc is an health care organization with primary practice located at 422 N Fraser St , Georgetown SC 29440-3260. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. St James Health And Wellness Inc can be contacted via phone (843) 436-1333, or through Gilliard, Sandra via phone (843) 887-3274.

Contact Information

Primary practice address
422 N Fraser St Georgetown SC 29440-3260
Phone: (843) 436-1333
Fax: (843) 436-1335
Website:
Map and Directions
Authorized official contact:
Name: Gilliard, Sandra
Phone: (843) 887-3274

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 37759 South Carolina
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1366568594
LBN Legal business name St James Health And Wellness Inc
DBA Doing business as St James Santee Family Health Center Inc
Authorized official Gilliard, Sandra
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366568594 NPPES
South Carolina MEDICAID 377596

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