NPIMap

Organization Active NPI

Palmetto Pee Dee Behavioral Health, LLC

  • Psychiatric Residential Treatment Facility
  • Florence, SC
National Provider Identifier
1508979956
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
RTF014 Issued in SC
Legal business name
PALMETTO PEE DEE BEHAVIORAL HEALTH, LLC
Practice address
601 Gregg Ave.
Florence, SC 29501-4316
Phone
(843) 669-6706
Fax
(843) 669-5127
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Steve Filton
Title
SRVP Cfo
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X RTF014 SC Primary

Addresses

Primary practice location

601 Gregg Ave.
Florence, SC 29501-4316

Mailing address

2777 Speissegger Dr
North Charleston, SC 29405-8229
Phone (843) 745-5122

Other identifiers 1

IdentifierTypeStateIssuer
RTF024MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Pee Dee Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1508979956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 SPEISSEGGER DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058229",
            "telephone_number": "843-745-5122",
            "fax_number": "843-745-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GREGG AVE.",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014316",
            "telephone_number": "843-669-6706",
            "fax_number": "843-669-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PEE DEE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SRVP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "SC",
            "license": "RTF014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RTF024",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.