BERKELEY CITIZENS, INC. (NPI# 1619390481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619390481 |
| Entity Type | Organization |
| Organization Name | BERKELEY CITIZENS, INC. |
| Practice Address |
1301 Old Hwy. 52 South Moncks Corner SC 29461 |
| Mailing Address |
Po Box 429 Moncks Corner SC 29461-0429 |
| Practice Telephone | 8437610311 |
| Practice Fax Number | 8437610303 |
| Mailing Telephone | 8437610311 |
| Mailing Fax Number | 8437610311 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | MR. ALICE E. SHOOK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8437610311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | SC | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BERKELEY CITIZENS, INC. | 1301 Old Hwy 52 S, Moncks Corner, SC 29461-5236 |
| Street Address |
1301 OLD HWY. 52 SOUTH |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| 1497065692 | Roper Saint Francis Physicians Network | Urology | 730 Stony Landing Rd Ste 200, Moncks Corner, SC 29461 | 2010-10-21 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588928832 | Assuage Etiquette,llc | Public Health or Welfare | 105 Loblolly Dr, Moncks Corner, SC 29461-3513 | 2012-07-02 |
| 1144310152 | State of South Carolina | Public Health or Welfare | 109 W Main St, Moncks Corner, SC 29461-2673 | 2006-10-13 |
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| 1821557000 | Anderson County Disabilities and Special Needs Board | Public Health or Welfare | 212 Mcgee Rd, Anderson, SC 29625-2104 | 2019-03-18 |
| 1942732433 | Yourchoice Healthcare LLC | Public Health or Welfare | 34 Katherine Park Ct, Columbia, SC 29206-4493 | 2017-04-03 |
| 1508278151 | Newberry County Disabilities and Special Needs Board | Public Health or Welfare | 2600 Holloway St, Newberry, SC 29108-4500 | 2014-05-29 |
| 1124445176 | Trina Caughman | Public Health or Welfare | 2221 Highway 178, Swansea, SC 29160-8649 | 2014-03-27 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
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| 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.