SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE


Address: 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903
Phone: 8433474888

SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE (NPI# 1417557471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417557471
Entity Type Organization
Organization Name SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Practice Address 164 Waccamaw Medical Park Dr
Conway
SC 29526-8903
Mailing Address 2414 Bull St
Columbia
SC 29201-1906
Practice Telephone 8433474888
Mailing Telephone 8038988461
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Authorized Official Name TRACY L TURNER (CONTROLLER)
Authorized Official Telephone 8038988503
Is Organization Subpart Y
Parent Organization Name SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Highway to Hope Waccamaw Primary Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205925567 South Carolina Dept of Mental Health Accounting Office Clinic/Center 125 E Cheves St, Florence, SC 29506-2526 2006-10-12
1104838192 South Carolina Dept of Mental Health Accounting Office Skilled Nursing Facility 2461 Sidneys Rd, Walterboro, SC 29488-6783 2006-08-12
1568476885 South Carolina Dept of Mental Health Accounting Office Clinic/Center 448 Lakeshore Pkwy, Suite 205, Rock Hill, SC 29730-4264 2006-07-29
1245279595 South Carolina Dept of Mental Health Accounting Office Clinic/Center 801 N Pike W, Sumter, SC 29153-1906 2006-06-05
1376595041 South Carolina Dept of Mental Health Accounting Office Psychiatric Hospital 130 Highway 252, Anderson, SC 29621-5054 2006-05-17
1184675316 South Carolina Dept of Mental Health Accounting Office Clinic/Center 8301 Farrow Rd, Columbia, SC 29203-3245 2006-05-12
1609825264 South Carolina Dept of Mental Health Accounting Office Psychiatric Hospital 220 Faison Dr, Columbia, SC 29203-3210 2006-05-09
1508814625 South Carolina Dept of Mental Health Accounting Office Clinic/Center 200 Mcgee Rd, Anderson, SC 29625-2142 2006-05-04
1316904857 South Carolina Dept of Mental Health Accounting Office Clinic/Center 1135 Gregg Hwy, Aiken, SC 29801-6341 2006-04-27
1073113031 South Carolina Dept of Mental Health Accounting Office Nurse Practitioner 125 E Cheves St, Florence, SC 29506-2526 2020-10-29

Office Location

Street Address 164 WACCAMAW MEDICAL PARK DR
City CONWAY
State SC
Zip Code 29526-8903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659370021 Kurt Klauburg Psychiatry & Neurology 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2005-07-19
1740881242 Tracey Buster Social Worker 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-11-03
1427676907 Leslie Ethridge Barnes Registered Nurse 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-07-10
1043849151 Juleian Edwards Counselor 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-04-02
1942835202 Rachel Anne Hemingway Registered Nurse 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-03-06
1912530221 Matthew John Beauchemin Social Worker 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-02-14
1114559085 Jeffrey N. Osborne Counselor 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-02-10
1790317006 Joshawna April Mcabee Social Worker 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-02-05
1922639343 Lorie A Matthews Counselor 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-02-04
1134759756 Sundy Graham Rebeschke Social Worker 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 2020-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225317159 House Calls, On Call Clinic/Center 2920 Adam St, Conway, AR 72034-5502 2011-08-09
1144416330 Conway Family Clinic, Inc. Clinic/Center 301 S. Newport, Conway, MO 65632 2007-09-20
1538263272 Waccamaw Primary Care,llc Clinic/Center 660 Singleton Ridge, Suite A, Conway, SC 29526 2006-09-12
1447637327 Rivertown Wellness Center, LLC Clinic/Center 1210 Main St, Conway, SC 29526-3633 2015-04-30
1487882023 Eaw Inc Clinic/Center 525 Hendrix Cv, Conway, AR 72034-7742 2009-06-22
1669687851 Northampton Family Practice, PC Clinic/Center 111 E Main St, Conway, NC 27820-0348 2007-05-11
1659382067 Coastal Pediatrics Clinic/Center 8030 Myrtle Trace Dr, Conway, SC 29526-8945 2006-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700484821 Grace Physicians Services Clinic/Center 1483 Old Cherokee Road, Lexington, SC 29072 2020-10-12
1750995007 Trinity Health and Wellness Clinic/Center 1483 Old Cherokee Rd, Lexington, SC 29072 2020-09-03
1841847423 Healthworks Med Group of South Carolina P C Clinic/Center 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 2019-08-20
1528561453 Sea Island Medical Care Clinic/Center 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 2018-03-16
1447758032 Crs Eyecare Services, Inc. Clinic/Center 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 2018-01-29
1316477060 Lake City Medical Associates 2017, LLC Clinic/Center 130 S Acline St, Lake City, SC 29560-2633 2017-06-15
1417483355 New Beginnings Health Services Clinic/Center 176 Dermis Ave, Hardeeville, SC 29927-4161 2017-05-11
1669919007 Hypertension and Diabetes Prevention and Treatment Center Inc Clinic/Center 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 2017-01-24
1093262511 Quad/med, LLC Clinic/Center 224a Harbor Freight Rd, Dillon, SC 29536-8501 2016-09-01
1649623653 Woods Bay Family Care LLC Clinic/Center 128 E Baker St, Olanta, SC 29114-9101 2016-07-14
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Competitor

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City CONWAY
Zip Code 29526

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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