Organization
ANMED HEALTH
Active
Other names
AnMed Primary Care - Iva
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAN GRIGSBY (CFO)
(864) 512-1109
Entity
Organization
Contact information
Practice address
331 ANTREVILLE HWY, IVA, SC 29655-9548
(864) 348-6122
(864) 348-7892
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-4088
(864) 348-7892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ7096
RAILROAD MEDICARE
SC
05
—
GP3264
—
SC
Enumeration date
06/02/2006
Last updated
11/11/2025
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