NPIMap

Organization Active NPI

South Carolina Department of Health and Environmental Control

  • Occupational Medicine Clinic/Center
  • Conway, SC
National Provider Identifier
1497960355
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
23550 Issued in SC
Legal business name
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Practice address
2830 Oak St
Conway, SC 29526-4560
Phone
(843) 365-3126
Fax
(843) 365-3153
NPI assigned
May 14, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Covia Levance Stanley, M.D., M.DIV.
Title
Regional Health Director
Phone
(843) 915-8875

National Provider Directory

National Provider Directory
Tax ID family
SC Dept of Health and Environmental Control280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 23550 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

2830 Oak St
Conway, SC 29526-4560

Mailing address

1931 Industrial Park Rd
Conway, SC 29526
Phone (843) 915-8875

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
57-600-286OtherSCSC DHEC

Other names 1

NPPES NPI Registry
  • Region 6 Department of Public Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2008.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1497960355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 INDUSTRIAL PARK RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-915-8875",
            "fax_number": "843-365-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 OAK ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264560",
            "telephone_number": "843-365-3126",
            "fax_number": "843-365-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "COVIA",
        "authorized_official_middle_name": "LEVANCE",
        "authorized_official_title_or_position": "REGIONAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "843-915-8875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.DIV."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "SC",
            "license": "23550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DHEC",
            "identifier": "57-600-286",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Region 6 Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.