NPIMap

Organization Active NPI

Tri-County County Commission on Alcohol and Drug Abuse

  • Substance Abuse Rehabilitation Facility
  • Orangeburg, SC
National Provider Identifier
1770572448
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
619 Issued in SC
Legal business name
TRI-COUNTY COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Practice address
910 Cook Rd
Orangeburg, SC 29118-2124
Phone
(803) 536-4900
Fax
(803) 531-8419
NPI assigned
Oct 17, 2005
Last updated
Aug 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Mr. Richard S Fowler
Title
Executive Director
Phone
(803) 536-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 619 SC Primary

Addresses

Primary practice location

910 Cook Rd
Orangeburg, SC 29118-2124

Mailing address

PO Box 1166
Orangeburg, SC 29116-1166
Phone (803) 536-4900

Other identifiers 1

IdentifierTypeStateIssuer
M00036SC1MedicaidSC

Other names 1

  • William J. McCord Adolescent Treatment Facility Other name

National Provider Directory

National Provider Directory
Tax ID family
Tri-County Commission on Alcohol and Drug Abuse3 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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1770572448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1166",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161166",
            "telephone_number": "803-536-4900",
            "fax_number": "803-531-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182124",
            "telephone_number": "803-536-4900",
            "fax_number": "803-531-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-536-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SC",
            "license": "619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M00036SC1",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William J. McCord Adolescent Treatment Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.