Palmetto Early Intervention Service

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PALMETTO EARLY INTERVENTION SERVICE

Practice address

350 Cedar Springs Rd
Spartanburg, SC 29302-4637

Phone

(864) 237-8112

Fax

(864) 751-6389

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By 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

Victoria Phillips

Title

Owner/Director

Phone

(864) 237-8112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1699339168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BAY TREE CT",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293495923",
            "telephone_number": "864-237-8112",
            "fax_number": "864-751-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024637",
            "telephone_number": "864-237-8112",
            "fax_number": "864-751-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO EARLY INTERVENTION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "864-237-8112"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.