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BAMBERG JOB CORP.
NPI 1386997591
Nurse Practitioner - Family in Bamberg, SC

Active since October 25, 2012CLIA 42D0975487 · Waiver
19 JOB CORPS AVE, BAMBERG, SC 29003(803) 245-5101 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bamberg Job Corp. NPPES

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

BAMBERG JOB CORP. (NPI 1386997591) is a healthcare organization registered as a family in Bamberg, South Carolina and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Leon A Brunson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386997591
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBAMBERG JOB CORP.
Location Address19 JOB CORPS AVEBamberg, SC 29003-1606
Mailing Address3310 Magnolia StOrangeburg, SC 29115-1466 · (803) 531-6900
Phone(803) 245-5101
Organization SubpartYesParent: Family Health Centers, Inc.
Authorized OfficialLeon A BrunsonCeo · (803) 531-6900
Enumeration DateOctober 25, 2012
✔ NPI 1386997591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
19 JOB CORPS AVE, Bamberg, SC 29003
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 42D0975487

Bamberg Job Corp Center · Bamberg, SC
Active · expires Sep 28, 2026
CLIA Number42D0975487
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorJoann Stroman
Laboratory Phone(803) 245-6350
Laboratory LocationBamberg Job Corp Center19 Job Corps Avenue, Bamberg, SC 29003
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bamberg Job Corp.'s NPI number?

The NPI number for Bamberg Job Corp. is 1386997591. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Bamberg Job Corp. located?

Bamberg Job Corp. is located at 19 Job Corps Ave, Bamberg, SC 29003. The listed phone number is (803) 245-5101.

What is Bamberg Job Corp.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Bamberg Job Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0975487) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bamberg Job Corp. was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.