Healthcare Provider Details

I. General information

NPI: 1558736199
Provider Name (Legal Business Name): ARCIS HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2015
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2061 HIGHWAY 52
MONCKS CORNER SC
29461-5017
US

IV. Provider business mailing address

93 SPRINGVIEW LN UNIT B
SUMMERVILLE SC
29485-8143
US

V. Phone/Fax

Practice location:
  • Phone: 943-797-5050
  • Fax: 843-797-3633
Mailing address:
  • Phone: 843-797-5050
  • Fax: 843-797-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateSC

VIII. Authorized Official

Name: DON J BECKER
Title or Position: COO
Credential:
Phone: 843-797-5050