NPIMap

Organization Active NPI

South Carolina Department of Health and Environmental Control

Doing business as Region 6 Department of Public Health

  • 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
Doing business as
Region 6 Department of Public Health
Practice address
2830 Oak St
Conway, SC 29526-4560
Phone
(843) 365-3126
Fax
(843) 365-3153
NPI assigned
May 14, 2007
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Covia Levance Stanley, M.D., M.DIV.NPI 1912295213
Title
Regional Health Director
Phone
(843) 915-8875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2830 Oak St
Conway, SC 29526-4560

Mailing address

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

Other names 1

  • Region 6 Department of Public Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Carolina Department 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "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.