Rubicon, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

OTP-038 Issued in SC

Legal business name

RUBICON, INC.

Practice address

510 E Carolina Ave
Hartsville, SC 29550-4312

Phone

(843) 332-4156

Fax

(843) 332-4159

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Winston H McElveen

Title

Executive Director

Phone

(843) 332-4156

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477617876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E CAROLINA AVE",
            "address_2": "PO BOX 2076",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504312",
            "telephone_number": "843-332-4156",
            "fax_number": "843-332-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504312",
            "telephone_number": "843-332-4156",
            "fax_number": "843-332-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCELVEEN",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-332-4156"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "OTP-038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• 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.