MUSC HEALTH PRIMARY CARE - RON MCNAIR BLVD
NPI 1063149748
Clinic/Center - Rural Health in Lake City, SC

Active since August 03, 2022CLIA 42D0251889 · Waiver
276 N RON MCNAIR BLVD, LAKE CITY, SC 29560(843) 792-1414 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2022, Sep 23, 2022, Aug 3, 2022 (3 updates tracked since 2022).

About Musc Health Primary Care - Ron Mcnair Blvd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSC HEALTH PRIMARY CARE - RON MCNAIR BLVD (NPI 1063149748) is a healthcare organization registered as a rural health in Lake City, South Carolina and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Karyn Rae, Chief Payor Relations And Reimburse, as its authorized official.

NPPES Registry Identity

NPI1063149748
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDICAL UNIVERSITY HOSPITAL AUTHORITY
Location Address276 N RON MCNAIR BLVDLake City, SC 29560-2462
Mailing AddressPo Box 23467New York, NY 10087-3467 · (843) 792-6200
Organization SubpartNo
Authorized OfficialKaryn RaeChief Payor Relations And Reimburse · (843) 876-1344
Enumeration DateAugust 3, 2022
Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
NPI 1063149748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
276 N RON MCNAIR BLVD, Lake City, SC 29560

Other Names 1

Doing Business AsMusc Health Primary Care - Ron Mcnair Blvd

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0251889

Medical University Hospital Authority Dba Musc Health Primary Care - Ron Mcnair Blvd · Lake City, SC
Active · expires Sep 30, 2026
CLIA Number42D0251889
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Lisa Wright
Laboratory Phone(843) 394-5471
Laboratory LocationMedical University Hospital Authority Dba Musc Health Primary Care - Ron Mcnair Blvd276 N Ron Mcnair Blvd, Lake City, SC 29560
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
276 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Nurse Practitioner (Family)
276 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Family Medicine
276 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Family Medicine
276 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Clinic/Center (Rural Health)
276 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Nurse Practitioner (Family)
276 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Nurse Practitioner (Family)
276 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Family Medicine
276 N RON MCNAIR BLVD
LAKE CITY, SC 29560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical University Hospital Authority's NPI number?

The NPI number for Medical University Hospital Authority is 1063149748. It was assigned to this organization in the NPPES registry on August 3, 2022. The provider is doing business as Musc Health Primary Care - Ron Mcnair Blvd.

Where is Medical University Hospital Authority located?

Medical University Hospital Authority is located at 276 N Ron Mcnair Blvd, Lake City, SC 29560. The listed phone number is (843) 792-1414.

What is Medical University Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Medical University Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0251889) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical University Hospital Authority accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Medical University Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical University Hospital Authority was last updated on October 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.