Organization Active NPI

Management Services of Santee

  • Exclusive Provider Organization
  • Santee, SC
National Provider Identifier
1104228311
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
MANAGEMENT SERVICES OF SANTEE
Practice address
1580 Bass Dr
Santee, SC 29142-0000
Phone
(803) 854-4106
Fax
(803) 854-5301
NPI assigned
Sep 18, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Ms. Vanester Seabrooks RavenellNPI 1467869776
Title
Business Manager
Phone
(803) 854-4106

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

1580 Bass Dr
Santee, SC 29142-0000

Mailing address

PO Box 947
Santee, SC 29142-0947
Phone (803) 854-4106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1104228311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "291420947",
            "telephone_number": "803-854-4106",
            "fax_number": "803-854-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BASS DR",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "291420000",
            "telephone_number": "803-854-4106",
            "fax_number": "803-854-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEMENT SERVICES OF SANTEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "RAVENELL",
        "authorized_official_first_name": "VANESTER",
        "authorized_official_middle_name": "SEABROOKS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "803-854-4106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.