STATE OF SOUTH CAROLINA


Address: 520 Thurgood Marshall Hwy, Kingstree, SC 29556-4108
Phone: 8433556012

STATE OF SOUTH CAROLINA (NPI# 1376627927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376627927
Entity Type Organization
Organization Name STATE OF SOUTH CAROLINA
Other Organization Name WILLIAMSBURG COUNTY HEALTH DEPARTMENT
Practice Address 520 Thurgood Marshall Hwy
Kingstree
SC 29556-4108
Mailing Address 1751 Calhoun St
Columbia
SC 29201-2606
Practice Telephone 8433556012
Mailing Telephone 8038980288
Mailing Fax Number 8038981255
Enumeration Date 2006-10-24
Last Update Date 2013-04-12
Authorized Official Name MRS. BETTY H GARREN (DIRECTOR, THIRD PARTY ADMINISTRATIO)
Authorized Official Telephone 8038983720
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Other Provider Identifier

State Issuer Identifier Type Code
SC SELECT HEALTH PROVIDER # 601253 01
SC DHEC45 05
SC UNISON HEALTH PLAN OF SC 000000155827 01

Other Provider/Organization Names

Other Name Type Code
Williamsburg County Health Department Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 520 THURGOOD MARSHALL HWY
City KINGSTREE
State SC
Zip Code 29556-4108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578590675 Nancy Carrol Smith Nurse Practitioner 520 Thurgood Marshall Hwy, Kingstree, SC 29556-4108 2006-06-26
1811400443 Meridith Tara Graham Social Worker 520 Thurgood Marshall Hwy, Kingstree, SC 29556-4108 2017-11-06
1356709299 Raymond Henry Dominici Jr. Internal Medicine 520 Thurgood Marshall Hwy, Kingstree, SC 29556-4108 2016-02-06
1932503075 James Alton Elvis IIi Nurse Practitioner 520 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556-4108 2014-10-17
1568704583 Hopehealth, Inc Clinic/Center 520 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556-4108 2013-03-18
1881882876 Andrea Mcknight Mcelveen Physician Assistant 520 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556-4108 2007-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689198996 April Wilson Home Health Aide 706 Sandy Bay Rd, Kingstree, SC 29556 2017-07-28
1588000657 Jennifer Moore Lamb Registered Nurse 500 North Academy St, Building K, Kingstree, SC 29556 2013-05-16
1619227014 Hallie Mcnair Dubose Pharmacist 120 North Longstreet St, Kingstree, SC 29556 2012-09-12
1699969733 Black River Healthcare, Inc. Obstetrics & Gynecology 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 2007-08-31
1457578486 Dawkins Medical Transport Ambulance 89 Drylog Avenue, Kingstree, SC 29556 2007-04-19
1306971502 Vital Aging of Williamsburg County, Inc. Home Delivered Meals 501 North Longstreet Street, Kingstree, SC 29556 2007-02-21
1356489579 Harry Wells Floyd General Practice 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 2007-02-01
1306995782 Joann Conyers Lockhart Health Educator 500 Academy Street, Kingstree, SC 29556 2007-01-09
1497825723 The Youth Academy Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 237 Lela Harrison Road, Kingstree, SC 29556 2006-11-08
1427151109 South Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 120 N Longst St, Kingstree, SC 29556 2006-09-07
Find all providers in zip 29556

Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City KINGSTREE
Zip Code 29556

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Dataset Information

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.

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