Organization Active NPI

Abbeville County School District

  • Student Health Clinic/Center
  • Abbeville, SC
National Provider Identifier
1265404743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
ABBEVILLE COUNTY SCHOOL DISTRICT
Practice address
400 Greenville St.
Abbeville, SC 29620
Phone
(864) 336-5427
Fax
(864) 366-8531
NPI assigned
Feb 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samuel I. Randolph
Title
Superintendent
Phone
(864) 366-5427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

400 Greenville St.
Abbeville, SC 29620

Mailing address

400 Greenville St.
Abbeville, SC 29620
Phone (864) 336-5427

Other identifiers 6

IdentifierTypeStateIssuer
W05388SC1MedicaidSC
W01870SC1MedicaidSC
W005755SC1MedicaidSC
W01868SC1MedicaidSC
W01869SC1MedicaidSC
W05389SC1MedicaidSC

National Provider Directory

National Provider Directory

Locations

400 Greenville St
Abbeville, SC 29620
Phone (864) 336-5427

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265404743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GREENVILLE ST.",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "29620",
            "telephone_number": "864-336-5427",
            "fax_number": "864-366-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GREENVILLE ST.",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "29620",
            "telephone_number": "864-336-5427",
            "fax_number": "864-366-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE COUNTY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "864-366-5427",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W05388SC1",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W01870SC1",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W005755SC1",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W01868SC1",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W01869SC1",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W05389SC1",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, 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.

Verify at the official NPI Registry.