NPIMap

Organization Active NPI

Barnwell County Commission on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Barnwell, SC
National Provider Identifier
1306844196
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BARNWELL COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Practice address
179 Fuldner Road
Barnwell, SC 29812
Phone
(803) 541-1245
Fax
(803) 541-1247
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Mrs. Pamela F Rush, CSPS, ICPS
Title
Executive Director
Phone
(803) 541-1245

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

179 Fuldner Road
Barnwell, SC 29812

Mailing address

179 Fuldner Road
Barnwell, SC 29812
Phone (803) 541-1245

Other identifiers 1

IdentifierTypeStateIssuer
AD31BAMedicaidSC

Other names 1

  • Axis I Center of Barnwell Doing business as

National Provider Directory

National Provider Directory

Locations

179 Fuldner Rd
Barnwell, SC 29812
Phone (803) 541-1245

Practitioners & affiliated clinicians

Practitioners 6

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": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1306844196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 FULDNER ROAD",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "29812",
            "telephone_number": "803-541-1245",
            "fax_number": "803-541-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 FULDNER ROAD",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "29812",
            "telephone_number": "803-541-1245",
            "fax_number": "803-541-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNWELL COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-541-1245",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSPS, ICPS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD31BA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis I Center of Barnwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barnwell, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.