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NPI Code Detail

MEDICARE: PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

MEDICARE: PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA
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
1314000000XSkilled Nursing FacilityNCF 202SC

General Provider Information

NPI Number : 1396940649
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA
Provider Business Mailing Address
First Line : 201 W 9TH NORTH ST
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-6721
Country : US
Telephone Number : 843-873-2550
Fax Number :
Provider Business Practice Location Address
First Line : 201 W 9TH NORTH ST
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-6721
Country : US
Telephone Number : 843-873-2550
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. KEVIN JOHNSON
Credential : CPA
Telephone Number : 803-772-5885
Provider Enumeration Date : 06/18/2007
Last Update Date : 10/10/2023

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Directions to “PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA ” 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.

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