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NPI Code Detail

MEDICARE: SUMTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE

MEDICARE: SUMTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043215569
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Provider Business Mailing Address
First Line : 755 ELECTRIC DR
Second Line :
City : SUMTER
State : SC
Zip : 29153-1933
Country : US
Telephone Number : 803-905-5100
Fax Number : 803-905-5171
Provider Business Practice Location Address
First Line : 755 ELECTRIC DR
Second Line :
City : SUMTER
State : SC
Zip : 29153-1933
Country : US
Telephone Number : 803-905-5100
Fax Number : 803-905-5171
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. SARAH CAMPBELL
Credential :
Telephone Number : 803-905-5100
Provider Enumeration Date : 06/21/2005
Last Update Date : 04/25/2025

Similar Medicare Providers

1487997177 — MRS. TORRE MIRANDON SHEPKER LPC, AADC, NCC, MAC
Practice Location Address:
755 ELECTRIC DR
SUMTER, SC
29153-1933
Practice Phone: 803-905-5100
Practice Fax: 803-905-5171
1962894535 — ERIC SMITH CASAC-2
Practice Location Address:
755 ELECTRIC DR
SUMTER, SC
29153-1933
Practice Phone: 803-905-8470
Practice Fax: 803-905-5171
1649954009 — ANGELICA CANNON
Practice Location Address:
755 ELECTRIC DR
SUMTER, SC
29153-1933
Practice Phone: 803-905-5100
Practice Fax:
1083479117 — SHAMEKA DENISE CARTER FNP
Practice Location Address:
755 ELECTRIC DR
SUMTER, SC
29153-1933
Practice Phone: 803-905-5100
Practice Fax: 803-905-5170
1326891946 — PATRICIA CLEO KLOPFLEISCH ADCIP
Practice Location Address:
755 ELECTRIC DR
SUMTER, SC
29153-1933
Practice Phone: 803-905-5147
Practice Fax:
1225866403 — MATTHEW FREDERICK BASEL
Practice Location Address:
755 ELECTRIC DR
SUMTER, SC
29153-1933
Practice Phone: 803-905-5112
Practice Fax:

Directions to “SUMTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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