SOUTH CAROLINA DEPT OF MENTAL HEALTH (NPI# 1326090812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326090812 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH |
| Other Organization Name | CBHS INFIRMARY |
| Practice Address |
610 Faison Dr Columbia SC 29203-3218 |
| Mailing Address |
Po Box 485 Columbia SC 29202-0485 |
| Practice Telephone | 8038988405 |
| Mailing Telephone | 8038988405 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2009-06-08 |
| Authorized Official Name | DR. ROBERT L BANK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8038984802 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 440008 | 05 |
| Other Name | Type Code |
|---|---|
| CBHS Infirmary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154596104 | South Carolina Dept of Mental Health | Podiatrist | 2414 Bull St, Columbia, SC 29201-1906 | 2008-04-29 |
| 1568631695 | South Carolina Dept of Mental Health | Durable Medical Equipment & Medical Supplies | 2200 Harden St, Columbia, SC 29203-7107 | 2008-02-22 |
| 1336324482 | South Carolina Dept of Mental Health | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2008-01-08 |
| 1932124096 | South Carolina Dept of Mental Health | Residential Treatment Facility, Emotionally Disturbed Children | 1800 Colonial Dr, Columbia, SC 29203-6827 | 2006-07-12 |
| Street Address |
610 FAISON DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629029913 | Lady M. Carr | Internal Medicine | 610 Faison Dr, Columbia, SC 29203-3218 | 2006-05-12 |
| 1043738016 | Netra Adams | Social Worker | 610 Faison Dr, Columbia, SC 29203-3218 | 2017-08-30 |
| 1548661341 | Ivan Rodney Elder | Psychologist | 610 Faison Dr, Columbia, SC 29203-3218 | 2014-09-11 |
| 1538589817 | Heather Lashawn Footman | Counselor | 610 Faison Dr, Columbia, SC 29203-3218 | 2014-04-24 |
| 1568671030 | South Carolina Dept of Mental Health Accounting Office | Substance Abuse Rehabilitation Facility | 610 Faison Dr, Columbia, SC 29203-3218 | 2007-05-22 |
| 1417973181 | Terry A Payton | Family Medicine | 610 Faison Dr, Columbia, SC 29203-3218 | 2006-07-14 |
| 1285667485 | Wing H Hui | Psychiatry & Neurology | 610 Faison Dr, Columbia, SC 29203-3218 | 2006-07-09 |
| 1053348672 | Donna Thomas | Nurse Practitioner | 610 Faison Dr, Columbia, SC 29203-3218 | 2006-06-27 |
| 1295787869 | South Carolina Dept of Mental Health Accounting Office | Substance Abuse Rehabilitation Facility | 610 Faison Dr, Columbia, SC 29203-3218 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710428321 | Palmetto Health Usc Medical Group | General Acute Care Hospital | Taylor Marion Sts, Columbia, SC 29220-0001 | 2017-03-15 |
| 1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1932554466 | Palmetto Health Richland | General Acute Care Hospital | 5 Medical Park Rd., Columbia, SC 29203-6863 | 2016-05-03 |
| 1811237985 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmettto Health Parkway, Columbia, SC 29212-1760 | 2013-02-26 |
| 1235402140 | Patience First LLC | General Acute Care Hospital | 9524 Twilight Ct, Columbia, MD 21046-1954 | 2012-02-23 |
| 1912293291 | Department of Neurology | General Acute Care Hospital | One Hospital Drive, Dc047.00, Columbia, MO 65212 | 2011-06-24 |
| 1720374044 | University Hospital & Clinics | General Acute Care Hospital | 1 Hospital Dr # Dc047.00, Columbia, MO 65201-5276 | 2011-06-24 |
| 1285920504 | University of Missouri - Columbia | General Acute Care Hospital | One Hospital Drive, Dc018.00, Columbia, MO 65212 | 2011-06-24 |
| 1851508089 | Palmetto Health | General Acute Care Hospital | 223 Stoneridge Drive, Suite B, Palmetto Healthy Start, Columbia, SC 29210 | 2007-05-17 |
| Find all providers in COLUMBIA | ||||
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| 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.