SOUTH CAROLINA DHEC NPI 1003953480

NPI Information

NPI: 1003953480
Provider Name: SOUTH CAROLINA DHEC

Doing Business As: DIABETES EDUCATION PROGRAM REGION V

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

Address:
1550 CAROLINA AVE
ORANGEBURG, SC
ZIP 29115
Phone: (803) 533-7116
Get Directions

SOUTH CAROLINA DHEC is a public health or welfare in Orangeburg, SC. SOUTH CAROLINA DHEC NPI is 1003953480. The provider is registered as an organization entity type.
The provider Is Doing Business As Diabetes Education Program Region V.

The provider's business location address is:

1550 CAROLINA AVE
ORANGEBURG, SC
ZIP 29115-944
Phone: (803) 533-7116
Fax: (803) 533-7134

The provider's authorized official is Raymond Douglas Calvert .
The authorized official title is Chief Of Staff and has the following contact phone number (803) 898-3305.

The CLIA number assigned to this NPI record is 42D0248856 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DPE057	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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