Healthcare Provider Details

I. General information

NPI: 1396204400
Provider Name (Legal Business Name): CHFS MANAGEMENT SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3937 SUNSET BLVD SUITE E
COLUMBIA SC
29169-4302
US

IV. Provider business mailing address

3937 SUNSET BLVD SUITE E
COLUMBIA SC
29169-4302
US

V. Phone/Fax

Practice location:
  • Phone: 803-567-3059
  • Fax: 800-290-8136
Mailing address:
  • Phone: 803-567-3059
  • Fax: 800-290-8136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEROME YELDER SR.
Title or Position: PRESIDENT AND CEO
Credential: PHD MP-BC NCPRSS CPS
Phone: 803-446-9959