Organization Active NPI

James R. Clark Memorial Sickle Cell Foundation

  • Case Management Agency
  • Columbia, SC
National Provider Identifier
1427117910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JAMES R. CLARK MEMORIAL SICKLE CELL FOUNDATION
Practice address
1420 Gregg St
Columbia, SC 29201-3528
Phone
(803) 765-9916
Fax
(803) 799-6471
NPI assigned
Dec 8, 2006
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
Ms. Melodie Anne Hunnicutt, M.ED., CFRE
Title
Executive Director
Phone
(803) 765-9916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1420 Gregg St
Columbia, SC 29201-3528

Mailing address

1420 Gregg St
Columbia, SC 29201-3528
Phone (803) 765-9916

Other identifiers 1

IdentifierTypeStateIssuer
MC0008MedicaidSC

National Provider Directory

National Provider Directory

Locations

1420 Gregg St
Columbia, SC 29201
Phone (803) 765-9916

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427117910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013528",
            "telephone_number": "803-765-9916",
            "fax_number": "803-799-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013528",
            "telephone_number": "803-765-9916",
            "fax_number": "803-799-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. CLARK MEMORIAL SICKLE CELL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNNICUTT",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-765-9916",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., CFRE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0008",
            "state": "SC"
        }
    ],
    "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 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.