SOUTH CAROLINA DHEC NPI 1720125107

NPI Information

NPI: 1720125107
Provider Name: SOUTH CAROLINA DHEC

Doing Business As: DIABETES EDUCATION PROGRAM TRIDENT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
4050 BRIDGE VIEW DR
SUITE 600
NORTH CHARLESTON, SC
ZIP 29405
Phone: (843) 746-3800
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SOUTH CAROLINA DHEC is a public health or welfare in North Charleston, SC. SOUTH CAROLINA DHEC NPI is 1720125107. The provider is registered as an organization entity type.
The provider Is Doing Business As Diabetes Education Program Trident.

The provider's business location address is:

4050 BRIDGE VIEW DR
SUITE 600
NORTH CHARLESTON, SC
ZIP 29405-488
Phone: (843) 746-3800
Fax: (843) 746-3881

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 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	DPE056	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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