Berkeley Citizens, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

BERKELEY CITIZENS, INC.

Practice address

1301 Old Hwy. 52 South
Moncks Corner, SC 29461

Phone

(843) 761-0311

Fax

(843) 761-0303

NPI assigned

Jan 29, 2014

Last updated

Jan 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

Mr. Alice E. Shook

Title

Executive Director

Phone

(843) 761-0311

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Berkeley Citizens Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Berkeley Citizens Inc

  • Early Intervention Provider Agency
  • Moncks Corner, SC
  • NPI 1982267605
  NPD tax ID

Locations

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1619390481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294610429",
            "telephone_number": "843-761-0311",
            "fax_number": "843-761-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OLD HWY. 52 SOUTH",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-761-0311",
            "fax_number": "843-761-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-761-0311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yongmei Bellack, MA
• Benchmark Healthcare Services LLC
• Holly A. Bender
• Kayla B Bennett
• Berkeley Citizens Inc
• Berkeley Community Mental Health Center
• Berkeley County EMS
• Berkeley County EMS (Berkeley County Emergency Medical Services)
• Berkeley County School District
• Berkeley County School District

• Public Health or Welfare Agency in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Public Health or Welfare Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.