Family Health Centers Village Park Drive · Federally Qualified Health Center (FQHC)

1760 Village Park Dr, Orangeburg, SC 29118-2457

Overview

Family Health Centers Village Park Drive is a Federally Qualified Health Center (FQHC) (organization) practicing in Orangeburg, South Carolina. The National Provider Identifier (NPI) is #1609640861, which was assigned on November 8, 2023, and the registration record was last updated on January 15, 2025. The practitioner's main practice location is at 1760 Village Park Dr, Orangeburg, SC 29118-2457; the contact telephone number is 8035316900. The primary taxonomy of Family Health Centers Village Park Drive is Federally Qualified Health Center (FQHC) (261QF0400X), with specialization in Federally Qualified Health Center (FQHC). The authorized official for Family Health Centers Village Park Drive is Dr. Stan Wardlaw (Ceo).

Provider Information

NPI 1609640861
Entity Type Organization
Organization Name FAMILY HEALTH CENTERS VILLAGE PARK DRIVE
Provider Name FAMILY HEALTH CENTERS VILLAGE PARK DRIVE
Practice Address 1760 Village Park Dr
Orangeburg
SC 29118-2457
Practice Telephone 8035316900
Mailing Address 1760 Village Park Dr
Orangeburg
SC 29118-2457
Mailing Telephone 8035316900
Certification Date 2025-01-15
Enumeration Date 2023-11-08
Last Update Date 2025-01-15
Is Organization Subpart N

Authorized Official Information

Official Name DR. STAN WARDLAW
Official Title CEO
Telephone 8035316900

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)

Taxonomy Information

Primary Taxonomy

Code 261QF0400X
Taxonomy Federally Qualified Health Center (FQHC)
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)
Grouping Ambulatory Health Care Facilities
Definition: Definition to come...

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Neighborhood Improvement Project, Inc 100 Olympic Dr, Waynesboro, GA 30830-4509Federally Qualified Health Center (FQHC)2026-01-09
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Swla Center for Health Services 200 La Rue France, Lafayette, LA 70508-3104Federally Qualified Health Center (FQHC)2025-12-19
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Gaston Family Health Services, Inc. 4672 Ebert Rd, Winston Salem, NC 27127-8716Federally Qualified Health Center (FQHC)2025-12-23
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Location Information

Street Address 1760 VILLAGE PARK DR
City ORANGEBURG
State SC
Zip Code 29118-2457
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Robin Gail Turner 1740 Village Park Dr Ste 1740, Orangeburg, SC 29118-2457Family Nurse Practitioner2025-11-05
Future Med, Inc 1768 Village Park Dr Ste A1, Orangeburg, SC 29118-2457Family Medicine Physician2023-08-03

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Patrick Moyer 3000 Saint Matthews Road, Po Box 1806, Orangeburg, SC 29118Emergency Medicine Physician2020-04-07
South Carolina Nephrology and Hypertension 3709 Magnolia St, Orangeburg, SC 29118-1403Nephrology Physician2006-10-13
Lucina V Smith-Brooks 2319 St Matthews Road, Orangeburg, SC 29118Mental Health Counselor2006-07-10
South Carolina Dept of Mental Health Accounting Office 2319 St Matthews Road, Orangeburg, SC 29118Mental Health Clinic/Center (Including Community Mental Health Center)2006-07-12
Anne Epting 3000 St. Matthews Road, Orangeburg, SC 29118Anesthesiology Physician2006-08-16
Wilmot R Gissendanner Iv 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Physician Assistant2025-12-06
Claire L Hewitt 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Pharmacist2025-06-23
Marsha S Washington 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Adult Health Nurse Practitioner2025-04-28
Aspen Sierra Jacobe 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Athletic Trainer2025-05-01
Drs Williamson & Gillespie Pa 1175 Cook Road, Suite 145, Orangeburg, SC 29118Obstetrics & Gynecology Physician2006-07-12
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.