Organization Active NPI

Put-Back, a Non-Profit Organization

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1316369333
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PUT-BACK, A NON-PROFIT ORGANIZATION
Practice address
8408 Little John Dr
Columbia, SC 29209-5600
Phone
(803) 783-1801
Fax
(803) 776-8029
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Mr. Harry Eugene Reese Sr.NPI 1811163041
Title
Executive Director
Phone
(803) 479-9238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8408 Little John Dr
Columbia, SC 29209-5600

Mailing address

8408 Little John Dr
Columbia, SC 29209-5600
Phone (803) 783-1801

National Provider Directory

National Provider Directory

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": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1316369333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 LITTLE JOHN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292095600",
            "telephone_number": "803-783-1801",
            "fax_number": "803-776-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 LITTLE JOHN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292095600",
            "telephone_number": "803-783-1801",
            "fax_number": "803-776-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUT-BACK, A NON-PROFIT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-479-9238",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.