NPIMap

Organization Active NPI

Calhoun County Disabilities and Special Needs Board

  • Early Intervention Provider Agency
  • Saint Matthews, SC
National Provider Identifier
1053970277
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CALHOUN COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Practice address
78 Doodle Hill Rd
Saint Matthews, SC 29135-8201
Phone
(803) 535-9653
Fax
(803) 874-2660
NPI assigned
Jun 11, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Jewel RussellNPI 1548826001
Title
Case Management Supervisor
Phone
(803) 535-9653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

78 Doodle Hill Rd
Saint Matthews, SC 29135
Phone (803) 535-9653

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

78 Doodle Hill Rd
Saint Matthews, SC 29135-8201

Mailing address

78 Doodle Hill Rd
Saint Matthews, SC 29135-8201
Phone (803) 535-9653

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2019.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1053970277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 DOODLE HILL RD",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291358201",
            "telephone_number": "803-535-9653",
            "fax_number": "803-874-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 DOODLE HILL RD",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291358201",
            "telephone_number": "803-535-9653",
            "fax_number": "803-874-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN COUNTY DISABILITIES AND SPECIAL NEEDS BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "CASE MANAGEMENT SUPERVISOR",
        "authorized_official_telephone_number": "803-535-9653",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Matthews, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.