BAMBERG SPECIALTY SERVICES – NPI #1306378310
Clinic/Center

BAMBERG SPECIALTY SERVICES is an AHC clinic located in BAMBERG, SC. NPPES has assigned the NPI number 1306378310 to BAMBERG SPECIALTY SERVICES on March 29, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAMBERG SPECIALTY SERVICES” is a dba name, the actual legal business name for this organization is LOW COUNTRY HEALTH CARE SYSTEM, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 2 years ago on Jan 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAMBERG SPECIALTY SERVICES below.

NPI Profile for
LOW COUNTRY HEALTH CARE SYSTEM, INC

NPI Number
1306378310
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOW COUNTRY HEALTH CARE SYSTEM, INC
Doing Business As (dba): BAMBERG SPECIALTY SERVICES
Primary location
185 MCGEE ST
BAMBERG, SC 29003-1154
Phone: (803) 956-6100 Fax: (803) 245-4338
Mailing address
86 WREN ST
BARNWELL, SC 29812-1529
Phone: (803) 259-5762 Fax: (803) 259-3250
Organization Subpart
Yes - BAMBERG SPECIALTY SERVICES is subpart of another organization.
Authorized Official
DARAINEY HUDSON
HR DIRECTOR
Phone: (803) 632-2533
Updated
Certification Date
Jan 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.