| Health Care Partners Of South Carolina, Inc. | |
|
1608 N. Main St Conway SC 29526-3572 | |
| (843) 248-4700 | |
| Not Available |
| Full Name | Health Care Partners Of South Carolina, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1608 N. Main St, Conway, South Carolina |
| Authorized Official Name and Position | Santina Mayo (CEO) |
| Authorized Official Contact | 8434886364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care Partners Of South Carolina, Inc. 1708 Oak St Conway SC 29526-3086 Ph: (843) 248-4700 | Health Care Partners Of South Carolina, Inc. 1608 N. Main St Conway SC 29526-3572 Ph: (843) 248-4700 |
| NPI Number | 1043395346 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 12/22/2023 |
| Medicare PECOS PAC ID | 3577668763 |
|---|---|
| Medicare Enrollment ID | O20100318000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043395346 | NPI | - | NPPES |
| FQC010 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 20075227 (South Carolina) | Primary |
| Provider Name | Jun Koike |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518166065 PECOS PAC ID: 4587739263 Enrollment ID: I20080814000279 |
| Provider Name | Jeanne L Halyard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326143900 PECOS PAC ID: 5395870141 Enrollment ID: I20100318000101 |
| Provider Name | Linda Wilds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154776722 PECOS PAC ID: 5890078323 Enrollment ID: I20170208000831 |
| Provider Name | Judy G Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669657987 PECOS PAC ID: 8921180217 Enrollment ID: I20170926002594 |
| Provider Name | Gertrude E Stoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326547431 PECOS PAC ID: 1052673001 Enrollment ID: I20180403000639 |
| Provider Name | John Vincent Maylock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366413833 PECOS PAC ID: 5991834111 Enrollment ID: I20190206000017 |
| Provider Name | Seceal Ann Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336568427 PECOS PAC ID: 7517393911 Enrollment ID: I20200203002249 |
| Provider Name | Patrick A Mcdougal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275036618 PECOS PAC ID: 1052748365 Enrollment ID: I20200226002405 |
| Provider Name | Cynthia D Grady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558741694 PECOS PAC ID: 9335417062 Enrollment ID: I20200422000187 |
| Provider Name | Hannah M Wakefield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194104828 PECOS PAC ID: 2163732991 Enrollment ID: I20201027001623 |
| Provider Name | Victoria Lynn Kiningham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164018057 PECOS PAC ID: 4183030364 Enrollment ID: I20210312002019 |
| Provider Name | Maria Elizabeth Grieco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518521657 PECOS PAC ID: 7719218650 Enrollment ID: I20210513002826 |
| Provider Name | Catharine Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093473068 PECOS PAC ID: 8820470354 Enrollment ID: I20220801001207 |
| Provider Name | Melissa Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568447498 PECOS PAC ID: 8921186081 Enrollment ID: I20221219000771 |
| Provider Name | Kristin White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396171419 PECOS PAC ID: 9830325752 Enrollment ID: I20230216000246 |
| Provider Name | Kevin Cornwell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881060366 PECOS PAC ID: 3971889825 Enrollment ID: I20230320001724 |
| Provider Name | Kristen Mottey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568083210 PECOS PAC ID: 8022430404 Enrollment ID: I20230913003015 |
| Provider Name | Catherine Moya Krumenacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922442458 PECOS PAC ID: 6901040286 Enrollment ID: I20231010004010 |
| Provider Name | Karen Lynn Berrios |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346211927 PECOS PAC ID: 1951753391 Enrollment ID: I20240122001123 |
| Provider Name | Jessica Dukes Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578948733 PECOS PAC ID: 0042662314 Enrollment ID: I20240123001055 |
| Provider Name | Keith Allen Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407218134 PECOS PAC ID: 2567895774 Enrollment ID: I20240221003494 |
| Provider Name | Amelia J Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962960625 PECOS PAC ID: 8628414414 Enrollment ID: I20240315000393 |
Clinic Services Of South Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Sasser Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Cypress Cir, Conway, SC 29526 Phone: 843-347-7291 Fax: 843-347-9309 | |
Cmc Primary Care Highway 90 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526 Phone: 843-248-4700 | |
Cmc Primary Care Church Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Church St, Ste A, Conway, SC 29526 Phone: 843-365-0295 Fax: 843-365-0354 | |
Coastal Carolina University Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 University Blvd, Conway, SC 29526 Phone: 843-349-6543 |