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NPI Code Detail

MEDICARE: THREE RIVERS BEHAVIORAL HEALTH LLC

MEDICARE: THREE RIVERS BEHAVIORAL HEALTH LLC
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
1283Q00000XPsychiatric HospitalHTL-808SC

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 : 1427044957
Entity Type Code : Organization
Provider Name (Legal Business Name) : THREE RIVERS BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 2900 SUNSET BLVD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169
Country : US
Telephone Number : 803-796-9911
Fax Number :
Provider Business Practice Location Address
First Line : 2900 SUNSET BLVD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-3422
Country : US
Telephone Number : 803-796-9911
Fax Number :
Authorized Official
Title or Position : SR VP CFO
Name : STEVE FILTON
Credential :
Telephone Number : 610-738-3300
Provider Enumeration Date : 09/20/2005
Last Update Date : 03/13/2011

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