DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS, INC.

MEDICARE: THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS, INC.
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
1323P00000XPsychiatric Residential Treatment FacilityRTC-018SC

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 : 1144253824
Entity Type Code : Organization
Provider Name (Legal Business Name) : THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS, INC.
Provider Business Mailing Address
First Line : 200 ERMINE RD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29170-2024
Country : US
Telephone Number : 803-791-9918
Fax Number : 803-926-5925
Provider Business Practice Location Address
First Line : 200 ERMINE RD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29170-2024
Country : US
Telephone Number : 803-791-9918
Fax Number : 803-926-5925
Authorized Official
Title or Position : BOD
Name : JOELLE L VINCENT
Credential :
Telephone Number : 843-851-5208
Provider Enumeration Date : 07/08/2006
Last Update Date : 07/28/2015

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908
Practice Phone: 301-816-6660
Practice Fax: 301-816-6308
1902802796 — DR. KIM JAMES MASTERS MD
Practice Location Address:
200 ERMINE RD
WEST COLUMBIA, SC
29170-2024
Practice Phone: 803-791-9918
Practice Fax: 803-926-5925
1891129797 — THREE RIVERS BEHAVIORAL HEALTH LLC
Practice Location Address:
200 ERMINE RD
WEST COLUMBIA, SC
29170-2024
Practice Phone: 803-791-9918
Practice Fax:
1821524067 — THREE RIVERS MIDLANDS
Practice Location Address:
200 ERMINE RD
WEST COLUMBIA, SC
29170-2024
Practice Phone: 803-791-9918
Practice Fax: 803-926-5934
1275536245 — DR. EDGAR HAROLD PEACOCK JR. D.D.S.
Practice Location Address:
2750 LAUREL ST , STE 202
COLUMBIA, SC
29204-2024
Practice Phone: 803-256-9268
Practice Fax: 803-256-0084
1437261559 — DR. CHRISTOPHER DAVID PERRY MD, FCCP
Practice Location Address:
2750 LAUREL ST STE 202
COLUMBIA, SC
29204-2024
Practice Phone: 803-865-4590
Practice Fax:

Directions to “THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS, INC. ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.