DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CARESOUTH CAROLINA, INC

MEDICARE: CARESOUTH CAROLINA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942247846
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARESOUTH CAROLINA, INC
Provider Business Mailing Address
First Line : PO BOX 1090
Second Line :
City : HARTSVILLE
State : SC
Zip : 29551-1090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 545 SUMTER HWY
Second Line :
City : BISHOPVILLE
State : SC
Zip : 29010-7601
Country : US
Telephone Number : 803-484-5317
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANN LEWIS
Credential :
Telephone Number : 843-857-0111
Provider Enumeration Date : 05/31/2006
Last Update Date : 10/03/2024

Similar Medicare Providers

1780687624 — DR. MARK W SOHNER M.D.
Practice Location Address:
545 SUMTER HWY
BISHOPVILLE, SC
29010-7601
Practice Phone: 803-484-5317
Practice Fax: 803-484-4533
1912988411 — SUSAN C SCOUTEN APRN-BC, FNP
Practice Location Address:
545 SUMTER HWY
BISHOPVILLE, SC
29010-7601
Practice Phone: 803-484-5317
Practice Fax: 803-484-4533
1275571846 — ROOSEVELT G DANIEL MD
Practice Location Address:
545 SUMTER HWY
BISHOPVILLE, SC
29010-7601
Practice Phone: 803-484-5317
Practice Fax:
1902820079 — DR. JANE L LAROCHE MD
Practice Location Address:
545 SUMTER HWY
BISHOPVILLE, SC
29010-7601
Practice Phone: 803-484-5317
Practice Fax:
1639286479 — SHARON SWINTON
Practice Location Address:
545 SUMTER HWY
BISHOPVILLE, SC
29010-7601
Practice Phone: 803-484-5317
Practice Fax:
1760555494 — DR. MAVICTORIA AGUSTIN MD
Practice Location Address:
545 SUMTER HWY
BISHOPVILLE, SC
29010-7601
Practice Phone: 803-484-5317
Practice Fax: 803-484-4533

Directions to “CARESOUTH CAROLINA, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.