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NPI Code Detail

MEDICARE: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

MEDICARE: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

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 : 1306949482
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Provider Business Mailing Address
First Line : 20 POWDERHORN RD
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29681-3399
Country : US
Telephone Number : 864-963-3421
Fax Number :
Provider Business Practice Location Address
First Line : 20 POWDERHORN RD
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29681-3399
Country : US
Telephone Number : 864-963-3421
Fax Number :
Authorized Official
Title or Position : CONTROLLER
Name : TRACY L TURNER
Credential :
Telephone Number : 803-898-8503
Provider Enumeration Date : 09/06/2006
Last Update Date : 09/20/2019

Similar Medicare Providers

1821855107 — AMANDA BLANTON
Practice Location Address:
20 POWDERHORN RD
SIMPSONVILLE, SC
29681-3399
Practice Phone: 864-963-3421
Practice Fax:
1144271867 — MS. LAUREEN JUDY NOLL MD
Practice Location Address:
20 POWDERHORN RD
SIMPSONVILLE, SC
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Practice Fax:
1801817812 — TOBIAS SAMUEL SCHREIBER M.A., LPC
Practice Location Address:
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SIMPSONVILLE, SC
29681-3399
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Practice Fax: 864-967-8617
1902918725 — RCG UNIVERSITY DIVISION, INC.
Practice Location Address:
16 POWDERHORN RD
SIMPSONVILLE, SC
29681-3399
Practice Phone: 864-962-2222
Practice Fax: 864-228-4838
1184717001 — WILLIAM D TAYLOR M.D.
Practice Location Address:
20 POWDERHORN RD
SIMPSONVILLE, SC
29681-3399
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Practice Fax:
1164570628 — MRS. TRESSELA KIMBLE BATESON
Practice Location Address:
20 POWDERHORN RD
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29681-3399
Practice Phone: 864-963-3421
Practice Fax:

Directions to “SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE ” Practice Location

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