Organization Active NPI

Anderson School District Four

  • Registered Nurse
  • Anderson, SC
National Provider Identifier
1104252584
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
213023 Issued in SC
Legal business name
ANDERSON SCHOOL DISTRICT FOUR
Practice address
7324 Highway 187
Anderson, SC 29625-6911
Phone
(864) 403-2100
Fax
(864) 646-8066
NPI assigned
Sep 18, 2013
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Larry Young
Title
Chief Financial Officer
Phone
(864) 403-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 213023 SC Primary

Addresses

Primary practice location

7324 Highway 187
Anderson, SC 29625-6911

Mailing address

315 E Queen St
Pendleton, SC 29670-1721
Phone (864) 403-2000

Other identifiers 1

IdentifierTypeStateIssuer
SD0404MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Anderson District 46 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7324 Highway 187
Anderson, SC 29625
Phone (864) 403-2100

315 E Queen St
Pendleton, SC 29670
Phone (864) 403-2000

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": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1104252584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E QUEEN ST",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701721",
            "telephone_number": "864-403-2000",
            "fax_number": "864-403-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 HIGHWAY 187",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296256911",
            "telephone_number": "864-403-2100",
            "fax_number": "864-646-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON SCHOOL DISTRICT FOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "864-403-2000"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "213023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0404",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

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