Active NPI
Big Brothers Big Sisters of GR. Columbia
- Voluntary or Charitable Agency
- Columbia, SC
National Provider Identifier
1124109699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- BIG BROTHERS BIG SISTERS OF GR. COLUMBIA
- Practice address
- 4300 North Main Street
Suite 200
Columbia, SC 29203-5950 - Phone
- (803) 691-5700
- Fax
- (803) 691-5701
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julie Tovey
- Title
- President/Ceo
- Phone
- (803) 691-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
4300 North Main Street
Suite 200
Columbia, SC 29203-5950
Mailing address
4300 North Main Street
Suite 200
Columbia, SC 29203-5950
Phone (803) 691-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MC0028 | Other | SC | SC MEDICAID PROVIDER NO. |
National Provider Directory
National Provider DirectoryLocations
4300 N Main St
Ste 200
Columbia, SC 29203
Phone (803) 691-5700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124109699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 NORTH MAIN STREET",
"address_2": "SUITE 200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292035950",
"telephone_number": "803-691-5700",
"fax_number": "803-691-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 NORTH MAIN STREET",
"address_2": "SUITE 200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292035950",
"telephone_number": "803-691-5700",
"fax_number": "803-691-5701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG BROTHERS BIG SISTERS OF GR. COLUMBIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TOVEY",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "803-691-5700",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAID PROVIDER NO.",
"identifier": "MC0028",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.