DR. J. DAULTON DUBOSE MEDICAL CENTER
NPI 1710293873
Clinic/Center - Rural Health in Summerton, SC

NPI Status: Active since August 27, 2010

Contact Information

1056 FELTON ST
SUMMERTON, SC
ZIP 29148
Phone: (803) 488-9355
Fax: (803) 488-9358

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  • Organization
  • Clinic/Center
  • Rural Health

About DR. J. DAULTON DUBOSE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Dr. J. Daulton Dubose Medical Center, a primary care provider established in Summerton, South Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1710293873 assigned on August 2010. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Dr. J. Daulton Dubose Medical Center. The authorized official of this NPI record is Julie Nettles (Director Of Community Clinics)

NPI
1710293873
Provider Legal Name
CLARENDON MEMORIAL HOSPITAL
Other Organization Name
DR. J. DAULTON DUBOSE MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1056 FELTON ST SUMMERTON, SC 29148
Location Phone
(803) 488-9355
Location Fax
(803) 488-9358
Mailing Address
1056 FELTON ST SUMMERTON, SC 29148
Mailing Phone
(803) 488-9355
Mailing Fax
(803) 488-9358
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-27-2010
Last Update Date
08-27-2010
Code Navigator

A primary care provider (PCP) like Dr. J. Daulton Dubose Medical Center 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

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

JULIE NETTLES

Authorized Official Title
DIRECTOR OF COMMUNITY CLINICS
Authorized Official Phone
(803) 435-5270

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
423441MEDICARE OSCAR/CERTIFICATION (06)SC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710293873
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720496814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 9 + 6 + 8 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1710293873 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912671843 MIRANDA KERLEY MSN, APRN, FNP-C
Individual
Nurse Practitioner (Family)1056 FELTON ST
SUMMERTON, SC 29148
(843) 819-4021
1902577455K & M CARE PC
Organization
Family Medicine1056 FELTON ST
SUMMERTON, SC 29148
(843) 819-4021
1770533523 ERIC L KERLEY MD
Individual
Internal Medicine1056 FELTON ST
SUMMERTON, SC 29148
(803) 488-4800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710293873, enumerated in the NPI registry as an "organization" on August 27, 2010

The provider is located at 1056 Felton St Summerton, Sc 29148 and the phone number is (803) 488-9355

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 27, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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