STATE OF SOUTH CAROLINA


Address: 1070 S Lake Dr, Suite B, Lexington, SC 29073-3701
Phone: 8037913580

STATE OF SOUTH CAROLINA (NPI# 1841375128) 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) 1841375128
Entity Type Organization
Organization Name STATE OF SOUTH CAROLINA
Other Organization Name LEXINGTON COUNTY HEALTH DEAPRTMENT
Practice Address 1070 S Lake Dr
Suite B
Lexington
SC 29073-3701
Mailing Address 1751 Calhoun St
Columbia
SC 29201-2606
Practice Telephone 8037913580
Mailing Telephone 8038980288
Mailing Fax Number 8038981255
Enumeration Date 2006-10-26
Last Update Date 2013-04-12
Authorized Official Name MRS. BETTY H GARREN (DIRECTOR,THIRD PARTY ADMINISTRATION)
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 DHEC32 05
SC SELECT HEALTH PROVIDER # 601236 01
SC UNISON HEALTH PLAN OF SC 000000155823 01

Other Provider/Organization Names

Other Name Type Code
Lexington County Health Deaprtment 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
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
1619051893 State of South Carolina Public Health or Welfare 21 Star Rd, Edgefield, SC 29824-4209 2006-10-25

Office Location

Street Address 1070 S LAKE DR
SUITE B
City LEXINGTON
State SC
Zip Code 29073-3701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801415369 D'nita Artense Adams Registered Nurse 1070 S Lake Dr, Lexington, SC 29073-3701 2020-04-14
1174150866 Aliene Corley Registered Nurse 1070 S Lake Dr, Lexington, SC 29073-3701 2020-03-24
1356987499 Sarah Kristina Haggood Licensed Practical Nurse 1070 S Lake Dr, Lexington, SC 29073-3701 2019-11-25
1023515780 Tara Buchanan Registered Nurse 1070 S Lake Dr, Lexington, SC 29073-3701 2018-04-10
1912406547 Katherine Brown Nurse Practitioner 1070 S Lake Dr, Lexington, SC 29073-3701 2018-02-09
1861927170 Marlena Clary Registered Nurse 1070 S Lake Dr, Lexington, SC 29073-3701 2017-04-24
1285024075 Heather Marlowe Registered Nurse 1070 S Lake Dr, Suite B, Lexington, SC 29073-3701 2015-01-31
1598168775 Purity Joy Bey-cummings Registered Nurse 1070 S Lake Dr, Lexington, SC 29073-3701 2014-10-02
1871907782 Tia Robinson Registered Nurse 1070 S Lake Dr, Lexington, SC 29073-3701 2014-06-18
1124448287 Mary Davis Registered Nurse 1070 S Lake Dr, Suite B, Lexington, SC 29073-3701 2014-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710464953 Alexandra Maria Schutz Dentist 5443 Platt Springs Rd, Lexington, SC 29073 2018-07-20
1649769704 Alecia Kristy Mckellar Nurse Practitioner 132 Mclee Road, Lexington, SC 29073 2018-05-04
1457712143 Bela Family Dentistry of White Knoll Dentist 1915 Southlake Dr., Lexington, SC 29073 2016-03-09
1326431404 Pediatric Mobility Innovations Durable Medical Equipment & Medical Supplies 4458 Augusta Road Suite 1b, Lexington, SC 29073 2015-03-12
1821419102 Megan Gadson Counselor 1068 South Lake Dr., Lexington, SC 29073 2014-01-03
1780937789 Craig Elliott Pfeifer Specialist/Technologist 755 Colina Ct, Lexington, SC 29073 2012-10-16
1376893875 Mary Glenn Pharmacist 1071 S. Lake Dr., Lexington, SC 29073 2012-09-12
1831471119 Adam Dutton Redmond Military Health Care Provider 4346 Augusta Road, Lexington, CA 29073 2011-09-13
1033341433 White Knoll Dentistry, LLC Clinic/Center 5545 Platt Springs Rd, Lexington, SC 29073 2009-08-18
1073748687 Jacqueline Abrams Behavioral Analyst 460 Pin Oak Dr, Lexington, SC 29073 2009-05-27
Find all providers in zip 29073

Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932755774 Lexington-fayette Urban-county Health Department Public Health or Welfare 4801 Athens Boonesboro Rd, Lexington, KY 40509 2019-08-16
1649734716 Lexington-fayette Urban-county Health Department Public Health or Welfare 1555 Georgetown Rd, Lexington, KY 40511-1034 2019-01-23
1043789175 Lexington-fayette Urban-county Health Department Public Health or Welfare 475 Price Rd, Lexington, KY 40508-1057 2018-11-19
1699244731 Lexington-fayette Urban-county Health Department Public Health or Welfare 400 Lafayette Pkwy, Lexington, KY 40503-1218 2018-11-19
1295233104 Coventry Oak Elementary School Public Health or Welfare 2441 Huntly Place, Lexington, KY 40511 2018-01-25
1699273599 Frederick Douglas High School Public Health or Welfare 2000 Winchester Rd, Lexington, KY 40509 2018-01-25
1881192789 The Stables (school) Public Health or Welfare 4089 Iron Works Pike, Lexington, KY 40511 2018-01-25
1124526033 Garrett Morgan Elementary School Public Health or Welfare 1150 Passage Mound Way, Lexington, KY 40511 2018-01-25
1639589237 Mississippi State Department of Health Public Health or Welfare 22545 Depot St, Lexington, MS 39095-7339 2014-05-05
1104193200 Lexington-fayette Urban-county Health Department Public Health or Welfare 252 Locust Farm Rd, Locust Tace Agriscience Center, Lexington, KY 40511-8702 2011-11-18
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Competitor

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City LEXINGTON
Zip Code 29073

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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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