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NPI Code Detail

MEDICARE: STATE OF SOUTH CAROLINA

MEDICARE: STATE 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
1251K00000XPublic Health or Welfare Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000157080OTHERSCUNISON HEALTH PLAN OF SC
320021675OTHERSCSELECT HEALTH PROVIDER #

General Provider Information

NPI Number : 1467516690
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF SOUTH CAROLINA
Provider Business Mailing Address
First Line : 1751 CALHOUN ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2606
Country : US
Telephone Number : 803-898-0288
Fax Number : 803-898-0501
Provider Business Practice Location Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-282-4300
Fax Number : 864-282-4372
Authorized Official
Title or Position : DIRECTOR,THIRD PARTY ADMINISTRATION
Name : MRS. BETTY H GARREN
Credential :
Telephone Number : 803-898-3720
Provider Enumeration Date : 12/21/2006
Last Update Date : 05/09/2012

Similar Medicare Providers

1407952112 — CAROLYN Z KARAGEORGIOU MPH, RD, LD
Practice Location Address:
200 UNIVERSITY RDG
GREENVILLE, SC
29601-3635
Practice Phone: 864-372-3071
Practice Fax: 864-282-4394
1275624496 — MR. RICHARD ELLIOTT EUBANKS R.PH
Practice Location Address:
200 UNIVERSITY RDG , BOX 2507
GREENVILLE, SC
29601-3635
Practice Phone: 864-282-4270
Practice Fax: 864-282-4372
1841325909 — MRS. LATONYA ROENA ADAMS RN
Practice Location Address:
200 UNIVERSITY RDG
GREENVILLE, SC
29601-3635
Practice Phone: 864-372-3164
Practice Fax:
1134328354 — S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Practice Location Address:
200 UNIVERSITY RDG
GREENVILLE, SC
29601-3635
Practice Phone: 864-282-4286
Practice Fax: 864-282-4372
1619393576 — TERESA COVEY BSN, RN
Practice Location Address:
200 UNIVERSITY RDG
GREENVILLE, SC
29601-3635
Practice Phone: 864-372-3165
Practice Fax: 864-282-4425
1700202660 — KATHY CULCLASURE RN
Practice Location Address:
200 UNIVERSITY RDG
GREENVILLE, SC
29601-3635
Practice Phone: 864-372-3144
Practice Fax: 864-282-4425

Directions to “STATE OF SOUTH CAROLINA ” Practice Location

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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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