Healthcare Provider Details

I. General information

NPI: 1730987090
Provider Name (Legal Business Name): COMPANION BENEFIT ALTERNATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 PERCIVAL RD
COLUMBIA SC
29229-8320
US

IV. Provider business mailing address

PO BOX 100185
COLUMBIA SC
29202-3185
US

V. Phone/Fax

Practice location:
  • Phone: 800-868-1032
  • Fax:
Mailing address:
  • Phone: 800-868-1032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. NATALIE GULLEDGE JOHNSTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 803-382-5536