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DUTCH FORK FAMILY PRACTICE
NPI 1083761316
Clinic/Center - Primary Care in Irmo, SC

Active since January 05, 2007
110 DUTCHMAN BLVD., IRMO, SC 29063(803) 732-8370(803) 732-8373 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dutch Fork Family Practice NPPES

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

DUTCH FORK FAMILY PRACTICE (NPI 1083761316) is a healthcare organization registered as a primary care in Irmo, South Carolina and active in the NPI registry since January 2007. The organization lists Michelle Archer, Owner, as its authorized official.

NPPES Registry Identity

NPI1083761316
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDUTCH FORK FAMILY PRACTICE
Location Address110 DUTCHMAN BLVD.Irmo, SC 29063
Mailing Address110 Dutchman Blvd.Irmo, SC 29063 · (803) 732-8370 · Fax (803) 732-8373
Phone(803) 732-8370
Fax(803) 732-8373
Organization SubpartNo
Authorized OfficialMichelle ArcherOwner · (803) 732-8370
Enumeration DateJanuary 5, 2007
Last NPPES UpdateAugust 7, 2013
✔ NPI 1083761316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
110 DUTCHMAN BLVD., Irmo, SC 29063
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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 Dutch Fork Family Practice's NPI number?

The NPI number for Dutch Fork Family Practice is 1083761316. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Dutch Fork Family Practice located?

Dutch Fork Family Practice is located at 110 Dutchman Blvd., Irmo, SC 29063. The listed phone number is (803) 732-8370.

What is Dutch Fork Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Dutch Fork Family Practice was last updated on August 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.