MEDICARE: SPECIAL CARE MEDICAL OF SC INC

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
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)	51-8016088331-2	FL

General Provider Information

NPI Number	:	1912247842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL CARE MEDICAL OF SC INC

Provider Business Mailing Address
First Line	:	PO BOX 21564
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29221-1564
Country	:	US
Telephone Number	:	803-926-0161
Fax Number	:	803-926-0345

Provider Business Practice Location Address
First Line	:	4421 ANNETTE ST STE 8
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2624
Country	:	US
Telephone Number	:	803-926-0161
Fax Number	:	803-926-0345

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MR. WALTER D MCLENDON
Credential	:
Telephone Number	:	803-926-0161

Provider Enumeration Date	:	03/01/2013
Last Update Date	:	05/25/2022

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Directions to “SPECIAL CARE MEDICAL OF SC INC ” Practice Location

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