Prime Community Development Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PRIME COMMUNITY DEVELOPMENT CORPORATION

Practice address

2501 N Fraser St
Georgetown, SC 29440-6411

Phone

(888) 578-1180

Fax

(888) 545-0350

NPI assigned

Feb 9, 2022

Last updated

Feb 9, 2022By 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

Mrs. Katrina L Cohens

Title

Executive Director

Phone

(888) 578-1180

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1578217378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294420774",
            "telephone_number": "888-578-1180",
            "fax_number": "888-545-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406411",
            "telephone_number": "888-578-1180",
            "fax_number": "888-545-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "COHENS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-578-1180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Leon Polando, P.A
• Gerald Leroy Powers, PHARM D.
• Premier Health LLC (Premier Health)
• Premier Health Services
• Premise Health of South Carolina Medical PC (Georgetown County)
• James M Principe, M.D.
• Proactive MD SC,P.a. (Proactive Care)
• Chloe Michelle Pullo
• R PH Now, LLC (Medicine Shoppe)
• Amangeldi Rahmanov, M.D.

• Case Management Agency in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.