Organization Name: | STATE OF SOUTH CAROLINA |
NPI Number: | 1720142524 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY H GARREN (DIRECTOR,THIRD PARTY ADMINISTRATION) |
Mailing Address: | 1736 S Main St Greenwood |
State: | SC US |
Postal Code: | 296464124 |
Phone Number: | 8642275902 |
Fax Number: | 8649423680 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 05/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |