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NPI Code Detail

MEDICARE: A TEAM HEALTHCARE SERVICES

MEDICARE: A TEAM HEALTHCARE SERVICES
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
1251C00000XDevelopmentally Disabled Services Day Training Agency85573SC
2251S00000XCommunity/Behavioral Health Agency85573SC
3253J00000XFoster Care Agency85573SC
4251B00000XCase Management Agency85573SC

General Provider Information

NPI Number : 1225375793
Entity Type Code : Organization
Provider Name (Legal Business Name) : A TEAM HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : PO BOX 50232
Second Line :
City : COLUMBIA
State : SC
Zip : 29250-0232
Country : US
Telephone Number : 803-361-5249
Fax Number :
Provider Business Practice Location Address
First Line : 3935 SUNSET BLVD
Second Line : STE. G.
City : WEST COLUMBIA
State : SC
Zip : 29169-2403
Country : US
Telephone Number : 803-796-9612
Fax Number : 803-796-9615
Authorized Official
Title or Position : OWNER
Name : MRS. URSHULA CANNON
Credential :
Telephone Number : 803-361-5249
Provider Enumeration Date : 01/03/2013
Last Update Date : 01/03/2013

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Directions to “A TEAM HEALTHCARE SERVICES ” Practice Location

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