Owl'S Club International

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

OWL'S CLUB INTERNATIONAL

Practice address

2528 W Palmetto St
Florence, SC 29501-5926

Phone

(843) 669-6088

Fax

(843) 407-6775

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Philip Shaw

Title

Treasurer

Phone

(843) 669-6088

Specialties & licenses 1

Addresses

Other names 1

• Owls Nest Recovery Community Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Langstroth Cowan, M.D.

  • Psychiatry Physician
  • Florence, SC
  • NPI 1740365691
  NPD (past)

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1235554395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7607",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295027607",
            "telephone_number": "843-669-6088",
            "fax_number": "843-407-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015926",
            "telephone_number": "843-669-6088",
            "fax_number": "843-407-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWL'S CLUB INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "843-669-6088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owls Nest Recovery Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel J. Owens, MD
• Elijah D Owens, MD
• John Elwood Owens, M.D., J.D.
• Kimberly Owens
• Sarah Lynn Owens, NP
• Valencia Oxendine-Rose
• Mallory Oxendine, M.A.
• Mark S. Pack, MD
• Janet Veronica Packer-Harkless, RPH
• Chelsey Packer, RN

• Substance Abuse Rehabilitation Facility in Florence, SC
• Providers in Florence, SC by specialty
• Substance Abuse Rehabilitation Facility in South Carolina

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