Healthcare Provider Details

I. General information

NPI: 1619914983
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 ANTREVILLE HWY
IVA SC
29655-9548
US

IV. Provider business mailing address

PO BOX 100174
COLUMBIA SC
29202-3174
US

V. Phone/Fax

Practice location:
  • Phone: 864-348-6122
  • Fax: 864-348-7892
Mailing address:
  • Phone: 864-512-4088
  • Fax: 864-348-7892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN JAN GRIGSBY
Title or Position: CFO
Credential:
Phone: 864-512-1109