SOUTH CAROLINA DHEC (NPI# 1487711958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487711958 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA DHEC |
| Other Organization Name | TRIDENT CRS |
| Practice Address |
4050 Bridge View Dr Suite 600 Charleston SC 29405-7488 |
| Mailing Address |
1751 Calhoun St Columbia SC 29201-2606 |
| Practice Telephone | 8437923561 |
| Practice Fax Number | 8437924695 |
| Mailing Telephone | 8038980288 |
| Mailing Fax Number | 8038980501 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RAYMOND DOUGLAS CALVERT (CHIEF OF STAFF) |
| Authorized Official Telephone | 8038983305 |
| 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 | 000000157080 | 01 |
| SC | SELECT HEALTH PROVIDER # | 20021675 | 01 |
| SC | DHEC49 | 05 |
| Other Name | Type Code |
|---|---|
| Trident CRS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669643672 | South Carolina Dhec | Public Health or Welfare | 1931 Industrial Park Rd., Conway, SC 29526 | 2008-03-18 |
| 1679607162 | South Carolina Dhec | Public Health or Welfare | 2600 Bull St, Columbia, SC 29201-1708 | 2007-03-15 |
| 1346322369 | South Carolina Dhec | Public Health or Welfare | 1833 Pageland Highway, Lancaster, SC 29720 | 2006-10-19 |
| 1407005028 | South Carolina Dhec | Public Health or Welfare | 1736 S Main St, Greenwood, SC 29646-4124 | 2008-09-18 |
| 1801092275 | South Carolina Dhec | Public Health or Welfare | 105 N Magnolia St, Sumter, SC 29150-4941 | 2007-06-22 |
| 1881724102 | South Carolina Dhec | Public Health or Welfare | 531 Carolina Avenue, Varnville, SC 29924 | 2007-03-06 |
| 1831236215 | South Carolina Dhec | Public Health or Welfare | 145 E Cheves St, Florence, SC 29506-2526 | 2007-02-01 |
| 1205973674 | South Carolina Dhec | Public Health or Welfare | 151 E Wood St, Spartanburg, SC 29303-3016 | 2007-02-01 |
| 1003953480 | South Carolina Dhec | Public Health or Welfare | 1550 Carolina Ave, Orangeburg, SC 29115-4944 | 2007-02-01 |
| 1720125107 | South Carolina Dhec | Public Health or Welfare | 4050 Bridge View Dr, Suite 600, North Charleston, SC 29405-7488 | 2007-02-01 |
| Street Address |
4050 BRIDGE VIEW DR SUITE 600 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29405-7488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423695 | Mary Elisheva Wilchanovsky | Nurse Practitioner | 4050 Bridge View Dr, Suite 600, Charleston, SC 29405-7488 | 2005-08-09 |
| 1023564937 | Erica Dunmeyer | Registered Nurse | 4050 Bridge View Dr, Charleston, SC 29405-7488 | 2016-08-30 |
| 1255734521 | Deborah Danforth | Registered Nurse | 4050 Bridge View Dr, Charleston, SC 29405-7488 | 2014-10-01 |
| 1396151023 | Nancy K Boothby | Dietitian, Registered | 4050 Bridge View Dr, Suite 600, Charleston, SC 29405-7488 | 2014-07-02 |
| 1861431660 | Carlon J. Mitchell | Nurse Practitioner | 4050 Bridge View Dr, Charleston, SC 29405-8415 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1265843809 | Mississippi State Department | Public Health or Welfare | 209 S Pleasant St, Charleston, MS 38921-2325 | 2014-05-16 |
| 1013232503 | Pluff Mud Therapy Services | Public Health or Welfare | 1849 Capri Dr, Charleston, SC 29407-7603 | 2010-03-29 |
| 1407039761 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2936 | 2007-12-10 |
| 1356813257 | Mississippi County Health Department | Public Health or Welfare | 1200 E Marshall St, Charleston, MO 63834-1336 | 2018-12-18 |
| 1649588831 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| 1558679746 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| 1730497926 | County of Coles | Public Health or Welfare | 825 18th St, Charleston, IL 61920-2940 | 2010-09-22 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on SOUTH CAROLINA DHEC.
| 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.