STATE OF SOUTH CAROLINA (NPI# 1144310152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144310152 |
| Entity Type | Organization |
| Organization Name | STATE OF SOUTH CAROLINA |
| Other Organization Name | BERKELEY COUNTY HEALTH DEPARTMENT |
| Practice Address |
109 W Main St Moncks Corner SC 29461-2673 |
| Mailing Address |
1751 Calhoun St Columbia SC 29201-2606 |
| Practice Telephone | 8437194600 |
| Mailing Telephone | 8038980288 |
| Mailing Fax Number | 8038980501 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | MRS. BETTY H GARREN (DIRECTOR, THIRD PARTY ADMINISTRATIO) |
| Authorized Official Telephone | 8038983720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | UNISON HEALTH PLAN OF SC | 000000155828 | 01 |
| SC | SELECT HEALTH PROVIDER # | 601233 | 01 |
| SC | DHEC08 | 05 |
| Other Name | Type Code |
|---|---|
| Berkeley County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972651503 | State of South Carolina | Community/Behavioral Health | 101 Executive Center Dr, Suite 215, Columbia, SC 29210-8411 | 2007-01-08 |
| 1407913874 | State of South Carolina | Clinical Medical Laboratory | 8231 Parklane Rd, Columbia, SC 29223-4903 | 2007-01-03 |
| 1902975733 | State of South Carolina | Public Health or Welfare | 206 Airport Ct, Suite B, Mullins, SC 29574-6196 | 2006-11-07 |
| 1184793929 | State of South Carolina | Public Health or Welfare | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2006-11-07 |
| 1033295035 | State of South Carolina | Public Health or Welfare | 1736 S Main St, Greenwood, SC 29646-4124 | 2006-10-31 |
| 1699851667 | State of South Carolina | Public Health or Welfare | 810 Brown Street, Bishopville, SC 29010 | 2006-10-31 |
| 1114003530 | State of South Carolina | Public Health or Welfare | 1136 Kincaid Bridge Road, Winnsboro, SC 29180 | 2006-10-27 |
| 1841375128 | State of South Carolina | Public Health or Welfare | 1070 S Lake Dr, Suite B, Lexington, SC 29073-3701 | 2006-10-26 |
| 1962587212 | State of South Carolina | Public Health or Welfare | 609 N Townville St, Seneca, SC 29678-2642 | 2006-10-26 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| Street Address |
109 W MAIN ST |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013552652 | Shadell Murray | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2019-11-07 |
| 1679055370 | Kathleen Bailey Moore | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-30 |
| 1376023358 | Carlie Mzik | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-18 |
| 1063906683 | Appollonia Speights Washington | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-06-18 |
| 1285171694 | Stacy Gaillard | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2017-01-23 |
| 1831643675 | Melissa Jean Cardwell | Licensed Practical Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2016-08-10 |
| 1093103327 | Stephanie B Corpolongo | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2015-01-09 |
| 1477941995 | Leeann Fuerst | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2015-01-06 |
| 1013324482 | Pamela Dean | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2014-07-17 |
| 1265851885 | Martha Fletcher | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2014-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1588928832 | Assuage Etiquette,llc | Public Health or Welfare | 105 Loblolly Dr, Moncks Corner, SC 29461-3513 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613090 | Healing Mentors for Christ Inc. | Public Health or Welfare | 605 Haymount Rd, Latta, SC 29565-5306 | 2020-09-15 |
| 1356977417 | Virtual Training and Development Solutions, LLC. | Public Health or Welfare | 716 E Fairfield Rd Ste 111, Greenville, SC 29605-3688 | 2020-03-19 |
| 1770127797 | Mobile Healthcare Services LLC. | Public Health or Welfare | 15 Olde Springs Rd, Columbia, SC 29223-6002 | 2019-11-01 |
| 1295379790 | Aiken Pest Control, Inc. | Public Health or Welfare | 2739 Wagener Rd, Aiken, SC 29801-8127 | 2019-10-29 |
| 1558918730 | Abby's Home Care and Staffing LLC | Public Health or Welfare | 1801 W Evans St Ste D107, Florence, SC 29501-3376 | 2019-08-21 |
| 1861047706 | Families First Always | Public Health or Welfare | 1717 Gervais St # 104, Columbia, SC 29201-3415 | 2019-08-07 |
| 1821557000 | Anderson County Disabilities and Special Needs Board | Public Health or Welfare | 212 Mcgee Rd, Anderson, SC 29625-2104 | 2019-03-18 |
| 1942732433 | Yourchoice Healthcare LLC | Public Health or Welfare | 34 Katherine Park Ct, Columbia, SC 29206-4493 | 2017-04-03 |
| 1508278151 | Newberry County Disabilities and Special Needs Board | Public Health or Welfare | 2600 Holloway St, Newberry, SC 29108-4500 | 2014-05-29 |
| 1124445176 | Trina Caughman | Public Health or Welfare | 2221 Highway 178, Swansea, SC 29160-8649 | 2014-03-27 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on STATE OF SOUTH CAROLINA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.