Palmetto Pee Dee Behavioral Health, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

PALMETTO PEE DEE BEHAVIORAL HEALTH, LLC

Practice address

601 Gregg Ave Ste B
Florence, SC 29501-4316

Phone

(843) 667-0644

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Sr VP Cfo

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Palmetto Pee Dee Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Palmetto Pee Dee Behavioral Health Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Florence, SC
  • NPI 1427447978
  NPD tax ID
• Palmetto Pee Dee Behavioral Health, LLC

  • Psychiatric Residential Treatment Facility
  • Florence, SC
  • NPI 1508979956
  NPD tax ID

Locations

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": "1669902979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GREGG AVE STE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014316",
            "telephone_number": "843-667-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GREGG AVE STE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014316",
            "telephone_number": "843-667-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PEE DEE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RTF0024",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RTF0014",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Medical Equipment of Florence
• Palmetto Oral & Maxillofacial Surgeons
• Palmetto Pediatric Dentistry
• Palmetto Pee Dee Behavioral Health Inc
• Palmetto Pee Dee Behavioral Health, LLC
• Palmetto Physical Therapy and Wellness Center
• Palmetto Prosthetics and Orthotics, Inc.
• Palmetto Radiation Oncology PA
• Palmetto Respiratory & Rehab Inc
• Palmetto Service Company LLC

• Psychiatric Residential Treatment Facility in Florence, SC
• Providers in Florence, SC by specialty
• Psychiatric Residential Treatment Facility in South Carolina

• 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.