FAIRFIELD BEHAVIORAL HEALTH SERVICES NPI 1487665055

NPI Information

NPI: 1487665055
Provider Name: FAIRFIELD BEHAVIORAL HEALTH SERVICES
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Former Legal Business Name: FAIRFIELD COUNTY SUBSTANCE ABUSE COMMISSION
CLIA Number: 42D2307885
Address: 178 US HIGHWAY 321 BYPASS N.
WINNSBORO, SC
ZIP 29180
Phone: (803) 635-2335

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NPI Details

FAIRFIELD BEHAVIORAL HEALTH SERVICES is a rehabilitation and substance use disorder clinic center in Winnsboro, SC. FAIRFIELD BEHAVIORAL HEALTH SERVICES NPI is 1487665055. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Fairfield County Substance Abuse Commission.

The provider's business location address is:

178 US HIGHWAY 321 BYPASS N.
WINNSBORO, SC
ZIP 29180
Phone: (803) 635-2335
Fax: (803) 635-9695

The provider's authorized official is Vernon Lamont Kennedy .
The authorized official title is Executive Director and has the following contact phone number (803) 635-2335.

The CLIA number assigned to this NPI record is 42D2307885 - other - subtance use treatment-ou with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 11/16/2018.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	AD25FA	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: 3/30/2025

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