ANDERSON DISTRICT 4 NPI 1487991501

NPI Information

NPI: 1487991501
Provider Name: ANDERSON DISTRICT 4
Classification: Registered Nurse - 163WS0200X
Entity Type: Organization

Specialization: School

Address:
458 RIVERSIDE ST
PENDLETON, SC
ZIP 29670
Phone: (864) 403-2200
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ANDERSON DISTRICT 4 is a school registered nurse in Pendleton, SC. ANDERSON DISTRICT 4 NPI is 1487991501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

458 RIVERSIDE ST
PENDLETON, SC
ZIP 29670-211
Phone: (864) 403-2200
Fax: (864) 646-8025

The provider's authorized official is Heidi B Mccaulley .
The authorized official title is Registered Nurse and has the following contact phone number (864) 403-2200.

The enumeration date for this NPI number is 1/9/2013 and was last updated on 1/9/2013.

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	163WS0200X	Registered Nurse	School	68523	SOUTH CAROLINA	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	SD0404	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: 4/28/2024

NPI Synchronization or Removal

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