HOPEHEALTH LAKE CITY SAULS STREET – NPI #1831442854
Clinic/Center

HOPEHEALTH LAKE CITY SAULS STREET is an AHC clinic located in LAKE CITY, SC. NPPES has assigned the NPI number 1831442854 to HOPEHEALTH LAKE CITY SAULS STREET on October 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HOPEHEALTH LAKE CITY SAULS STREET” is a dba name, the actual legal business name for this organization is HOPEHEALTH, INC. The NPI data also shows multiple names associated with this provider such as HopeHealth Dental Lake City and 2 other listed below. 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 last updated on Aug 30, 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 HOPEHEALTH LAKE CITY SAULS STREET below.

NPI Profile for
HOPEHEALTH, INC

NPI Number
1831442854
Enumeration Date

(more than 13 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
HOPEHEALTH, INC
Doing Business As (dba): HOPEHEALTH LAKE CITY SAULS STREET
Other name(s)
All associated names:
Doing Business As (dba)
HopeHealth Dental Lake City
Other Name
HopeHealth Lake City
Doing Business As (dba)
HOPEHEALTH LAKE CITY SAULS STREET
Primary location
148 SAULS ST STE A
LAKE CITY, SC 29560-2677
Phone: (843) 394-1051 Fax: (843) 394-0277
1 Other location(s):
241 Kelley St
Lake City, SC 29560-2446
Phone: (843) 394-1051
Fax: (843) 394-0277
Mailing address
360 N IRBY ST
FLORENCE, SC 29501-2808
Phone: (843) 667-9414 Fax: (843) 667-1362
Organization Subpart
No
Authorized Official
MARK VINSON
CHIEF FINANCIAL OFFICER
Phone: (843) 656-0353
Updated
Certification Date
Aug 30, 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)
261QD0000X
- Clinic/Center / Dental

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.