| Catawba Services Unit-indian Health | |
|
2893 Sturgis Rd Rock Hill SC 29730-6607 | |
| (803) 366-9090 | |
| Not Available |
| Full Name | Catawba Services Unit-indian Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2893 Sturgis Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Tonya G Cornwell (CEO ACTING) |
| Authorized Official Contact | 8033669090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catawba Services Unit-indian Health 2893 Sturgis Rd Rock Hill SC 29730-6607 Ph: (803) 366-9090 | Catawba Services Unit-indian Health 2893 Sturgis Rd Rock Hill SC 29730-6607 Ph: (803) 366-9090 |
| NPI Number | 1467485540 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 04/11/2011 |
| Medicare PECOS PAC ID | 4284880204 |
|---|---|
| Medicare Enrollment ID | O20120807000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467485540 | NPI | - | NPPES |
| GP4025 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael E Toedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013993575 PECOS PAC ID: 1951354935 Enrollment ID: I20050302000394 |
| Provider Name | Duane M Chase |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992844906 PECOS PAC ID: 7719045806 Enrollment ID: I20081017000486 |
| Provider Name | Chrystal L Frank |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619383320 PECOS PAC ID: 1254649510 Enrollment ID: I20151006002188 |
| Provider Name | Marie Suzette Jeoboam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659491769 PECOS PAC ID: 1153586235 Enrollment ID: I20180410000198 |
| Provider Name | Joseph T Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275534968 PECOS PAC ID: 6800157892 Enrollment ID: I20181227000029 |
| Provider Name | Yvonne A Gilchrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851899231 PECOS PAC ID: 7517204415 Enrollment ID: I20190131000460 |
| Provider Name | Tyler J Maxon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053793034 PECOS PAC ID: 3870841000 Enrollment ID: I20200124001128 |
| Provider Name | Beau Timothy Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154942035 PECOS PAC ID: 7911301940 Enrollment ID: I20210812000822 |
| Provider Name | Rudolph Mccomb |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609095389 PECOS PAC ID: 0941362339 Enrollment ID: I20230620002876 |
| Provider Name | Kimberly G Ramsdell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407815921 PECOS PAC ID: 2365771151 Enrollment ID: I20240424001270 |
| Provider Name | Robert P Mcminn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548741010 PECOS PAC ID: 8527408384 Enrollment ID: I20240427001887 |
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