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SOUTH CAROLINA DHEC NPI 1922164326


NPI Information

NPI: 1922164326
Provider Name: SOUTH CAROLINA DHEC

Doing Business As: LOWER SAVANNAH CRS

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

CLIA Number: 42D1090733

Address:
828 RICHLAND AVE W
AIKEN, SC
ZIP 29801
Phone: (803) 642-1651
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SOUTH CAROLINA DHEC is a public health or welfare in Aiken, SC. SOUTH CAROLINA DHEC NPI is 1922164326. The provider is registered as an organization entity type.
The provider Is Doing Business As Lower Savannah Crs.

The provider's business location address is:

828 RICHLAND AVE W
AIKEN, SC
ZIP 29801-834
Phone: (803) 642-1651
Fax: (803) 642-1683

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 42D1090733 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 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
1251K00000XPublic Health or WelfareYes

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
120021675OTHERSOUTH CAROLINASELECT HEALTH PROVIDER #
2000000157080OTHERSOUTH CAROLINAUNISON HEALTH PLAN OF SC
3DHEC68MEDICAIDSOUTH 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: 5/5/2024

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