NPIMap

Organization Active NPI

Supplemental Health Care

  • Clinic/Center
  • Laurens, SC
National Provider Identifier
1235569658
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6957 Issued in SC
Legal business name
SUPPLEMENTAL HEALTH CARE
Practice address
106 Parkview Dr
Laurens, SC 29360-2652
Phone
(864) 681-2955
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Mrs. Holly Mathis
Title
Staffing Manager
Phone
(866) 571-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6957 SC Primary

Addresses

Primary practice location

106 Parkview Dr
Laurens, SC 29360-2652

Mailing address

3462 Highway 418
Fountain Inn, SC 29644-4829
Phone (864) 640-9294

National Provider Directory

National Provider Directory
Tax ID family
Supplemental42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1235569658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 HIGHWAY 418",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296444829",
            "telephone_number": "864-640-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PARKVIEW DR",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602652",
            "telephone_number": "864-681-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "STAFFING MANAGER",
        "authorized_official_telephone_number": "866-571-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "6957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.