NPIMap

Organization Active NPI

State of South Carolina

  • Public Health or Welfare Agency
  • Greenwood, SC
National Provider Identifier
1720142524
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF SOUTH CAROLINA
Practice address
1736 S Main St
Greenwood, SC 29646-4124
Phone
(864) 227-5902
Fax
(864) 942-3680
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mrs. Betty H Garren
Title
Director,Third Party Administration
Phone
(803) 898-3720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1736 S Main St
Greenwood, SC 29646-4124

Mailing address

1751 Calhoun St
Columbia, SC 29201-2606
Phone (803) 898-0288

Other identifiers 3

IdentifierTypeStateIssuer
DHEC53MedicaidSC
000000157080OtherSCUNISON HEALTH PLAN OF SC
20021675OtherSCSELECT HEALTH PROVIDER #

Other names 1

  • Upper Savannah CRS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SC Dept of Health and Environmental Control280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1720142524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012606",
            "telephone_number": "803-898-0288",
            "fax_number": "803-898-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 S MAIN ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464124",
            "telephone_number": "864-227-5902",
            "fax_number": "864-942-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "GARREN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR,THIRD PARTY ADMINISTRATION",
        "authorized_official_telephone_number": "803-898-3720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DHEC53",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OF SC",
            "identifier": "000000157080",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER #",
            "identifier": "20021675",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Savannah CRS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.