SANDHILLS MEDICAL FOUNDATION-BETHUNE
NPI 1083228779
Clinic/Center - Federally Qualified Health Center (FQHC) in Bethune, SC
About Sandhills Medical Foundation-bethune NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDHILLS MEDICAL FOUNDATION-BETHUNE (NPI 1083228779) is a federally qualified health center (fqhc) in Bethune, South Carolina and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Ernest J Wardlaw, Ceo, as its authorized official.Information from the official NPPES registry record, last updated September 29, 2023.
NPPES Registry Identity
★ Primary Specialty
Also on File with NPPES
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2194326
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- September 30, 2024
- Certificate Expiration Date
- September 29, 2026
- Laboratory Director
- DR. DAVID THOMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sandhills Medical Foundation-bethune to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083228779, enumerated as an "organization" on September 01, 2020.
The provider is located at 103 MAIN STREET SOUTH BETHUNE, SC 29009 and the phone number is (866) 737-4031.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, InStil. Please consult your insurance carrier or call the provider to verify.
