NPIMap

Organization Active NPI

Three Rivers Residential Treatment Midlands Campus

  • Psychiatric Residential Treatment Facility
  • West Columbia, SC
National Provider Identifier
1558891861
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS
Practice address
200 Ermine Rd
West Columbia, SC 29170
Phone
(803) 791-9918
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Steven Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 1

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

Addresses

Primary practice location

200 Ermine Rd
West Columbia, SC 29170

Mailing address

200 Ermine Rd
West Columbia, SC 29170
Phone (803) 791-9918

Other identifiers 2

IdentifierTypeStateIssuer
RTF0018OtherSCSTATE LICENSE
RTF004MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Abs New Hope Midlands Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1558891861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ERMINE RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29170",
            "telephone_number": "803-791-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ERMINE RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29170",
            "telephone_number": "803-791-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RTF0018",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RTF004",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.