BURNT CHURCH PRIMARY AND URGENT CARE, LLC
NPI 1194829218
Family Medicine - Adolescent Medicine in Bluffton, SC
- Organization
- Family Medicine
- Adolescent Medicine
- CLIA Number: 42D2227547
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 06-13-2027
About BURNT CHURCH PRIMARY AND URGENT CARE, LLC
This page provides the complete NPI Profile along with additional information for Burnt Church Primary And Urgent Care, Llc, a primary care provider established in Bluffton, South Carolina operating as a Family Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1194829218 assigned on September 2006. The practitioner's primary taxonomy code is 207QA0000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Burnt Church Primary And Urgent Care, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is South Carolina Health Services. The authorized official of this NPI record is Mr. Wesley O. James (Regional Cfo, Tenet)
- NPI
- 1194829218 Verify this NPI
- Provider Legal Name
- BURNT CHURCH PRIMARY AND URGENT CARE, LLC
- Other Organization Name
- SOUTH CAROLINA HEALTH SERVICES
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1 BURNT CHURCH RD BLUFFTON, SC 29910
- Location Phone
- (843) 757-9229
- Mailing Address
- 25 HOSPITAL CENTER BLVD ATTN ADMINISTRATION- KIM HOLSTEIN HILTON HEAD ISLAND, SC 29926
- Mailing Phone
- (843) 757-9229
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-11-2006
- Last Update Date
- 06-23-2016
- Code Navigator
A primary care provider (PCP) like Burnt Church Primary And Urgent Care, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Adolescent Medicine
- Taxonomy Code
- 207QA0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | OTHER (01) | SC | TAX ID |
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
- 42D2227547
- Facility Type
- Pharmacy
- Certificate Effective Date
- June 14, 2025
- Certificate Expiration Date
- June 13, 2027
- Laboratory Director
- ASHLEY MROCZKOWSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Burnt Church Primary And Urgent Care, Llc 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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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194829218, enumerated as an "organization" on September 11, 2006.
The provider is located at 1 BURNT CHURCH RD BLUFFTON, SC 29910 and the phone number is (843) 757-9229.
Family Medicine with taxonomy code 207QA0000X and a focus in Adolescent Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
