| Nhc Healthcare-greenwood Llc | |
|
437 E Cambridge Ave Greenwood SC 29646-2244 | |
| (864) 223-1950 | |
| Not Available |
| Full Name | Nhc Healthcare-greenwood Llc |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 437 E Cambridge Ave, Greenwood, South Carolina |
| Authorized Official Name and Position | J B Kinney (MANAGER) |
| Authorized Official Contact | 8642268356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nhc Healthcare-greenwood Llc 437 E Cambridge Ave Greenwood SC 29646-2244 Ph: (864) 223-1950 | Nhc Healthcare-greenwood Llc 437 E Cambridge Ave Greenwood SC 29646-2244 Ph: (864) 223-1950 |
| NPI Number | 1619902277 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 02/22/2008 |
| Medicare PECOS PAC ID | 6709961147 |
|---|---|
| Medicare Enrollment ID | O20080311000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619902277 | NPI | - | NPPES |
| 400227 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 314000000X | Skilled Nursing Facility | NCF-802 (South Carolina) | Primary |
| Provider Name | Theresa G Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326071226 PECOS PAC ID: 6507870870 Enrollment ID: I20060126000303 |
| Provider Name | Ralph D D Amore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578637013 PECOS PAC ID: 9032137104 Enrollment ID: I20080306000000 |
| Provider Name | Angela S Mearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871764522 PECOS PAC ID: 0749326742 Enrollment ID: I20091005000746 |
| Provider Name | Bennie S Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043229982 PECOS PAC ID: 4082747928 Enrollment ID: I20100729000589 |
| Provider Name | Paula B Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609017193 PECOS PAC ID: 8325227028 Enrollment ID: I20110127000282 |
| Provider Name | Kristal Smith Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023583606 PECOS PAC ID: 8921342411 Enrollment ID: I20181211001351 |
| Provider Name | Daisy W Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614880 PECOS PAC ID: 7810224045 Enrollment ID: I20190812001837 |
| Provider Name | Keelie L Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750754271 PECOS PAC ID: 0446684161 Enrollment ID: I20200103002237 |
| Provider Name | Amy M Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104436799 PECOS PAC ID: 3173936796 Enrollment ID: I20201228001979 |
| Provider Name | Tashia P Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447722533 PECOS PAC ID: 2567793995 Enrollment ID: I20210610001574 |
| Provider Name | Carmen M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144896796 PECOS PAC ID: 6406244995 Enrollment ID: I20211103000552 |
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