Ashley Cunningham

Individual provider Active NPI Case Manager/Care Coordinator · Simpsonville, SC

NPI 1619015641 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619015641
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone
(864) 963-3421
Fax
(864) 962-0758
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Past
since Jul 17, 2002
Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

20 Powderhorn Rd
Simpsonville, SC 29681-3399

Mailing address

20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421

Other providers in Simpsonville, SC

All providers in Simpsonville, SC · Case Manager/Care Coordinator in South Carolina

Sources for this page

Verify at the official NPI Registry.