SC Dhec

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

53617 Issued in SC

Legal business name

SC DHEC

Practice address

1070 Heckle Blvd
Rock Hill, SC 29732-2853

Phone

(803) 909-7300

NPI assigned

Mar 29, 2014

Last updated

Mar 29, 2014By 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

Brenda S Blackwell, RN

Title

Public Health Nurse

Phone

(803) 320-3330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1548688377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 PONDSIDE CT",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297457682",
            "telephone_number": "803-324-5554",
            "fax_number": "803-324-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HECKLE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322853",
            "telephone_number": "803-909-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC DHEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PUBLIC HEALTH NURSE",
        "authorized_official_telephone_number": "803-320-3330",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "SC",
            "license": "53617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• State or Local Public Health Clinic/Center in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• State or Local Public Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.