Self Regional Healthcare
NPI 1134927767 · Rural Health Clinic/Center · Ninety Six, SC
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Self Regional Healthcare is a Rural Health Clinic/Center organization in Ninety Six, SC (NPI 1134927767).
Provider details
- NPI number
- 1134927767
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Logan, President & Ceo(864) 725-4780
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Family Healthcare Ninety Six
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Self Regional Healthcare's NPI number?
- Self Regional Healthcare's National Provider Identifier (NPI) is 1134927767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Self Regional Healthcare?
- Self Regional Healthcare is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Self Regional Healthcare located?
- Self Regional Healthcare's practice location on file with NPPES is 103 Little Mountain Rd, Ninety Six, SC 29666-9252.
- What is Self Regional Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Self Regional Healthcare is (864) 543-3515.
- Does Self Regional Healthcare accept Medicare?
- Self Regional Healthcare is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Self Regional Healthcare?
- The authorized official listed on Self Regional Healthcare's NPPES record is Matthew Logan, President & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Self Regional Healthcare's NPI active?
- Yes — Self Regional Healthcare's NPI (1134927767) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.