City of Peace, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CITY OF PEACE, INC

Practice address

1601 Williston Rd
Beech Island, SC 29842-8369

Phone

(803) 629-7540

NPI assigned

Feb 20, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Herbert Addison, J.D., CPED

Title

Director

Phone

(803) 629-7540

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1467725614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WILLISTON RD",
            "city": "BEECH ISLAND",
            "state": "SC",
            "postal_code": "298428369",
            "telephone_number": "803-629-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WILLISTON RD",
            "city": "BEECH ISLAND",
            "state": "SC",
            "postal_code": "298428369",
            "telephone_number": "803-629-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PEACE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-629-7540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D., CPED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Beech Island, SC
• Providers in Beech Island, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.