NPIMap

Organization Active NPI

SC Department of Juvenile Justice

  • Community/Behavioral Health Agency
  • Kingstree, SC
National Provider Identifier
1285988048
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SC DEPARTMENT OF JUVENILE JUSTICE
Practice address
209 Short St
Kingstree, SC 29556-3926
Phone
(843) 355-2772
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Margaret Barber
Title
Agency Director
Phone
(803) 896-5940

Specialties & licenses 1

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

Addresses

Primary practice location

209 Short St
Kingstree, SC 29556-3926

Mailing address

PO Box 21069
Columbia, SC 29221-1069

Other identifiers 1

IdentifierTypeStateIssuer
DJJ045MedicaidSC

Other names 1

  • Williamsburg County DJJ Other name

National Provider Directory

National Provider Directory
Tax ID family
SC Dept of Health and Environmental Control280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

209 Short St
Kingstree, SC 29556
Phone (843) 355-2772

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1285988048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21069",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292211069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SHORT ST",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563926",
            "telephone_number": "843-355-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC DEPARTMENT OF JUVENILE JUSTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "803-896-5940"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DJJ045",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg County DJJ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.