NPIMap

Organization Active NPI

Three Rivers Behavioral Health LLC

Doing business as Three Rivers Behavioral Health

  • Psychiatric Hospital
  • West Columbia, SC
National Provider Identifier
1427044957
Registry record updated Mar 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
HTL-808 Issued in SC
Legal business name
THREE RIVERS BEHAVIORAL HEALTH LLC
Doing business as
Three Rivers Behavioral Health
Practice address
2900 Sunset Blvd
West Columbia, SC 29169-3422
Phone
(803) 796-9911
NPI assigned
Sep 20, 2005
Last updated
Mar 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2011

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 738-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X HTL-808 SC Primary

Addresses

Primary practice location

2900 Sunset Blvd
West Columbia, SC 29169-3422

Mailing address

2900 Sunset Blvd
West Columbia, SC 29169
Phone (803) 796-9911

Other identifiers 1

IdentifierTypeStateIssuer
A00808MedicaidSC

Other names 1

  • Three Rivers Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000439 SC Part A Provider - Hospital 3072699891 Practice locations: West Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427044957. Details of each certification follow.

Hospital certification: CCN 424008

Legal name
THREE RIVERS BEHAVIORAL HEALTH LLC
Doing business as
THREE RIVERS BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 25, 1983
Last certification
Oct 3, 2019
Beds
122
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Aug 21, 2000 in SC
Enrollment address
2900 Sunset Boulevard
West Columbia, SC 29169-3422
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Three Rivers Behavioral HealthCCN 424008 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Three Rivers Behavioral Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Premier Behavioral Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2007 100%
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President, Board Member Nov 15, 2010 100%
Corporate DirectorVice President, Board Member Nov 15, 2010 33%
Operational/Managerial ControlVice President, Board Member Nov 15, 2010 100%
Shannon Morales Individual Contracted Managing EmployeeCeo Jan 1, 2020
Corporate OfficerCeo Jan 1, 2020
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Three Rivers Healthcare Group LLC Organization, King of Prussia, PA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2007
Christoper Jensen Individual Contracted Managing EmployeeCfo Jan 1, 2020
Corporate OfficerCfo Jan 1, 2020
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Oct 4, 2013 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation Operational/Managerial Control Nov 15, 2010 100%
Psychiatric Solutions, Inc. Organization, West Columbia, SC Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2007 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 22, 2023 87%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299974400000",
    "number": "1427044957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-796-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693422",
            "telephone_number": "803-796-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-03-13",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP  CFO",
        "authorized_official_telephone_number": "610-738-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "SC",
            "license": "HTL-808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A00808",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.