NPIMap

Organization Active NPI

Peedee Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Florence, SC
National Provider Identifier
1235536814
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
7106820802 Issued in SC
Legal business name
PEEDEE MENTAL HEALTH CENTER
Practice address
125 E Cheves St
Florence, SC 29506-2526
Phone
(843) 687-0640
Fax
(843) 799-5116
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Linda Brown
Title
Administrator
Phone
(843) 687-9640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7106820802 SC Primary

Addresses

Primary practice location

125 E Cheves St
Florence, SC 29506-2526

Mailing address

PO Box 12021
125 Cheves Street
Florence, SC 29501-5184
Phone (843) 687-9640

National Provider Directory

National Provider Directory
Tax ID family
Florence Health Care Home Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1235536814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12021",
            "address_2": "125 CHEVES STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015184",
            "telephone_number": "843-687-9640",
            "fax_number": "843-799-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062526",
            "telephone_number": "843-687-0640",
            "fax_number": "843-799-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEDEE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-687-9640"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "SC",
            "license": "7106820802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.