| Rural Health Services, Inc. | |
|
4645 Augusta Road Beech Island SC 29842-7265 | |
| (803) 380-7000 | |
| (803) 502-8491 |
| Full Name | Rural Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4645 Augusta Road, Beech Island, South Carolina |
| Authorized Official Name and Position | Donald Branum (CEO) |
| Authorized Official Contact | 8033807000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Services, Inc. 1000 Clyburn Place Aiken SC 29801-4193 Ph: (803) 380-7000 | Rural Health Services, Inc. 4645 Augusta Road Beech Island SC 29842-7265 Ph: (803) 380-7000 |
| NPI Number | 1790846608 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 04/10/2025 |
| Medicare PECOS PAC ID | 8527046010 |
|---|---|
| Medicare Enrollment ID | O20150430001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790846608 | NPI | - | NPPES |
| FQC007 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Primary |
| Provider Name | Lisa D Drake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518903426 PECOS PAC ID: 3577531748 Enrollment ID: I20040924000418 |
| Provider Name | Amanda B Salas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831128958 PECOS PAC ID: 1254389570 Enrollment ID: I20050217000557 |
| Provider Name | Kenneth P Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548344096 PECOS PAC ID: 6709895261 Enrollment ID: I20060411000304 |
| Provider Name | Sandra J Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093738676 PECOS PAC ID: 9133213317 Enrollment ID: I20080125000010 |
| Provider Name | Michael D Fulford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093734469 PECOS PAC ID: 7113084757 Enrollment ID: I20090325000649 |
| Provider Name | Jemetta S Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962757302 PECOS PAC ID: 5991953515 Enrollment ID: I20120924000245 |
| Provider Name | Tara Earthel Hook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871938910 PECOS PAC ID: 8123397767 Enrollment ID: I20170713000470 |
| Provider Name | Benjamin Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497947733 PECOS PAC ID: 7810065364 Enrollment ID: I20200421001941 |
| Provider Name | John V Ferguson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528157930 PECOS PAC ID: 5991730749 Enrollment ID: I20220208001839 |
| Provider Name | Lauren Nates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689214033 PECOS PAC ID: 9830565415 Enrollment ID: I20221024000376 |
| Provider Name | Mary Belk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285376822 PECOS PAC ID: 8527432517 Enrollment ID: I20230314001469 |
| Provider Name | Andrew Wallace Gunter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083639777 PECOS PAC ID: 2466794367 Enrollment ID: I20230713002855 |
| Provider Name | Claudette Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790351427 PECOS PAC ID: 6507200151 Enrollment ID: I20240222000771 |
| Provider Name | Justin Cherepy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578347050 PECOS PAC ID: 3779920574 Enrollment ID: I20240327003837 |
| Provider Name | Carol Ann H Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295351211 PECOS PAC ID: 3779920814 Enrollment ID: I20240423002765 |
| Provider Name | Calen Matos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538934179 PECOS PAC ID: 6901248160 Enrollment ID: I20240521000330 |
| Provider Name | Tiffany Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679265573 PECOS PAC ID: 2365985090 Enrollment ID: I20240621002112 |
| Provider Name | Giannina Lamaletto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801247069 PECOS PAC ID: 3971048125 Enrollment ID: I20240711002003 |
| Provider Name | Aisha Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982246070 PECOS PAC ID: 9739627936 Enrollment ID: I20240820000455 |
| Provider Name | Chan Carman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982139424 PECOS PAC ID: 2466991617 Enrollment ID: I20240831000037 |
| Provider Name | Alexander Conlon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851967442 PECOS PAC ID: 9436685781 Enrollment ID: I20241210001228 |
| Provider Name | Phylesha Hiers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487477972 PECOS PAC ID: 9335675495 Enrollment ID: I20241212001252 |
| Provider Name | Alexandria Petrosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336974013 PECOS PAC ID: 2163959511 Enrollment ID: I20241223003327 |