NPIMap

Organization Active NPI

Beaufort County Disabilities & Special Needs

  • Case Management Agency
  • Beaufort, SC
National Provider Identifier
1629408455
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BEAUFORT COUNTY DISABILITIES & SPECIAL NEEDS
Practice address
100 Clearwater Way
Beaufort, SC 29906-5798
Phone
(843) 255-6300
Fax
(843) 255-9417
NPI assigned
Nov 14, 2013
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Ms. Mitzi H Wagner
Title
Executive Director
Phone
(843) 255-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

100 Clearwater Way
Beaufort, SC 29906-5798

Mailing address

100 Clearwater Way
Beaufort, SC 29906-5798
Phone (843) 255-6300

National Provider Directory

National Provider Directory
Tax ID family
County Council of Beaufort County4 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.

Locations

100 Clearwater Way
Beaufort, SC 29906
Phone (843) 255-6300

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1629408455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLEARWATER WAY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065798",
            "telephone_number": "843-255-6300",
            "fax_number": "843-255-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLEARWATER WAY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299065798",
            "telephone_number": "843-255-6300",
            "fax_number": "843-255-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT COUNTY DISABILITIES & SPECIAL NEEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-255-6290",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.