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CHILDRENS RECOVERY CENTER NPI 1568699833


NPI Information

NPI: 1568699833
Provider Name: CHILDRENS RECOVERY CENTER
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
1801 LEGION ST
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 448-3400
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CHILDRENS RECOVERY CENTER is a voluntary or charitable in Myrtle Beach, SC. CHILDRENS RECOVERY CENTER NPI is 1568699833. The provider is registered as an organization entity type.

The provider's business location address is:

1801 LEGION ST
MYRTLE BEACH, SC
ZIP 29577-113
Phone: (843) 448-3400
Fax: (843) 626-5040

The provider's authorized official is Nicole Bandel .
The authorized official title is Business Manager and has the following contact phone number (843) 448-3400.

The enumeration date for this NPI number is 6/15/2009 and was last updated on 6/15/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251V00000XVoluntary or CharitableSC0277SOUTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E712861106MEDICAIDSOUTH 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

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