Colleton County Board of Disabilities and Special Needs

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

RC1527 Issued in SC

Legal business name

COLLETON COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS

Practice address

728 Hiers Corner Rd
Walterboro, SC 29488-5601

Phone

(843) 549-1732

Fax

(843) 549-2359

NPI assigned

Jan 28, 2013

Last updated

Jan 28, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dean Redd

Title

Executive Director

Phone

(843) 549-1732

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1063750941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880015",
            "telephone_number": "843-549-1732",
            "fax_number": "843-549-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 HIERS CORNER RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885601",
            "telephone_number": "843-549-1732",
            "fax_number": "843-549-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLETON COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-549-1732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "SC",
            "license": "RC1527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Medical Services LLC
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• Colleton Ambulatory Care, LLC (Colleton Ambulatory Surgery)
• Colleton Chiropractic, LLC
• Colleton Commission on Alcohol and Drug Abuse
• Colleton County School District
• Colleton Courtyard
• Colleton Emergency Group PC
• Colleton Heart Center, LLC
• Colleton Medical Anesthesia, LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.