Organization Active NPI

Dorchester Alcohol and Drug Commission

  • Community/Behavioral Health Agency
  • Summerville, SC
National Provider Identifier
1215338710
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10845 Issued in SC
Legal business name
DORCHESTER ALCOHOL AND DRUG COMMISSION
Practice address
500 N Main St
#4
Summerville, SC 29483-6439
Phone
(843) 871-4793
NPI assigned
Sep 16, 2014
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Samuel Miller
Title
Exceutive Director
Phone
(843) 871-4793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10845 SC Primary

Addresses

Primary practice location

500 N Main St
#4
Summerville, SC 29483-6439

Mailing address

500 N Main St
#4
Summerville, SC 29483-6439

National Provider Directory

National Provider Directory

Locations

500 N Main St
Ste 4
Summerville, SC 29483
Phone (843) 871-4790

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1215338710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "address_2": "#4",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "address_2": "#4",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836439",
            "telephone_number": "843-871-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER ALCOHOL AND DRUG COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "EXCEUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-871-4793"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "10845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.