KERSHAWHEALTH HEALTHCARE PLACE AT BETHUNE
NPI 1679564702
Clinic/Center - Rural Health in Bethune, SC

NPI Status: Active since October 28, 2005

Contact Information

103 SOUTH MAIN STREET
BETHUNE, SC
ZIP 29009
Phone: (843) 334-6557
Fax: (843) 334-6583

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 42D2142782
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 01-18-2026

About KERSHAWHEALTH HEALTHCARE PLACE AT BETHUNE

This page provides the complete NPI Profile along with additional information for Kershawhealth Healthcare Place At Bethune, a primary care provider established in Bethune, South Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1679564702 assigned on October 2005. The practitioner's primary taxonomy code is 261QR1300X with license number HTL-101 (SC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Kershawhealth Healthcare Place At Bethune. The authorized official of this NPI record is Mr. Davis W Turner (Vice President)

NPI
1679564702
Provider Legal Name
KERSHAW HOSPITAL LLC
Other Organization Name
KERSHAWHEALTH HEALTHCARE PLACE AT BETHUNE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
103 SOUTH MAIN STREET BETHUNE, SC 29009
Location Phone
(843) 334-6557
Location Fax
(843) 334-6583
Mailing Address
1315 ROBERTS ST CAMDEN, SC 29020
Mailing Phone
(803) 432-4311
Mailing Fax
(843) 334-6583
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2005
Last Update Date
10-14-2016
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A primary care provider (PCP) like Kershawhealth Healthcare Place At Bethune 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
HTL-101
License State
SC

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVIS W TURNER

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(615) 844-9800

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
423420MEDICARE OSCAR/CERTIFICATION (06) 
6055MEDICARE PIN (08) 
RHC535MEDICAID (05)SC 

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
42D2142782
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
January 19, 2024
Certificate Expiration Date
January 18, 2026
Laboratory Director
CYNTHIA WRIGLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kershawhealth Healthcare Place At 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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679564702, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 0 + 6 + 8 + 7 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1679564702.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679564702, enumerated as an "organization" on October 28, 2005.

The provider is located at 103 SOUTH MAIN STREET BETHUNE, SC 29009 and the phone number is (843) 334-6557.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.