MUSC HEALTH PRIMARY CARE - THURGOOD MARSHALL BLVD
NPI 1770219412
Clinic/Center - Rural Health in Kingstree, SC

Active since July 26, 2022CLIA 42D2020040 · Waiver
500 THURGOOD MARSHALL HWY STE F, KINGSTREE, SC 29556(843) 792-1414 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Sep 23, 2022, Jul 26, 2022 (3 updates tracked since 2022).

About Musc Health Primary Care - Thurgood Marshall Blvd NPPES

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

MUSC HEALTH PRIMARY CARE - THURGOOD MARSHALL BLVD (NPI 1770219412) is a healthcare organization registered as a rural health in Kingstree, South Carolina and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Karyn Rae, Chief Payor Relations And Reimburse, as its authorized official.

NPPES Registry Identity

NPI1770219412
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDICAL UNIVERSITY HOSPITAL AUTHORITY
Location Address500 THURGOOD MARSHALL HWY STE FKingstree, SC 29556-4143
Mailing AddressPo Box 23467New York, NY 10087-3467 · (843) 792-6200
Organization SubpartNo
Authorized OfficialKaryn RaeChief Payor Relations And Reimburse · (843) 876-1344
Enumeration DateJuly 26, 2022
Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
NPI 1770219412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
500 THURGOOD MARSHALL HWY STE F, Kingstree, SC 29556

Other Names 1

Doing Business AsMusc Health Primary Care - Thurgood Marshall Blvd

Accepted Insurance

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 42D2020040

Medical University Hospital Authority Dba Musc Health Primary Care - Thurgood Marshall Hwy · Kingstree, SC
Active · expires Dec 20, 2026
CLIA Number42D2020040
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorDr. Lisa Wright
Laboratory Phone(843) 355-1772
Laboratory LocationMedical University Hospital Authority Dba Musc Health Primary Care - Thurgood Marshall Hwy500 Thurgood Marshall Hwy, Kingstree, SC 29556
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
500 THURGOOD MARSHALL HWY STE F
KINGSTREE, SC 29556

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 Medical University Hospital Authority's NPI number?

The NPI number for Medical University Hospital Authority is 1770219412. It was assigned to this organization in the NPPES registry on July 26, 2022. The provider is doing business as Musc Health Primary Care - Thurgood Marshall Blvd.

Where is Medical University Hospital Authority located?

Medical University Hospital Authority is located at 500 Thurgood Marshall Hwy Ste F, Kingstree, SC 29556. The listed phone number is (843) 792-1414.

What is Medical University Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Medical University Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2020040) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical University Hospital Authority accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Medical University Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical University Hospital Authority was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.