RIDGE SPRING FAMILY PRACTICE – NPI #1538127352
Clinic/Center

RIDGE SPRING FAMILY PRACTICE is an AHC clinic located in RIDGE SPRING, SC. NPPES has assigned the NPI number 1538127352 to RIDGE SPRING FAMILY PRACTICE on May 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIDGE SPRING FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is CAROLINA HEALTH CENTERS, INC.. With multiple taxonomy codes selected, 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 16 years ago on Jun 21, 2010. 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 RIDGE SPRING FAMILY PRACTICE below.

NPI Profile for
CAROLINA HEALTH CENTERS, INC.

NPI Number
1538127352
Enumeration Date

(more than 20 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
CAROLINA HEALTH CENTERS, INC.
Doing Business As (dba): RIDGE SPRING FAMILY PRACTICE
Primary location
201 AIKEN RD.
RIDGE SPRING, SC 29129
Phone: (803) 685-3100 Fax: (803) 685-5831
Mailing address
PO BOX 128
RIDGE SPRING, SC 29129
Phone: (803) 685-3100 Fax: (803) 685-5831
Organization Subpart
No
Authorized Official
LISA GILMER
PRACTICE ADMINISTRATOR
Phone: (864) 941-8121
Updated
Identifiers

Identifiers for RIDGE SPRING FAMILY PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCFQC020
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)
207Q00000X
- Family Medicine

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.