NPIMap

Organization Active NPI

Trinity Behavioral Care

  • Substance Abuse Rehabilitation Facility
  • Marion, SC
National Provider Identifier
1780744706
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
ITP-005 Issued in SC
Legal business name
TRINITY BEHAVIORAL CARE
Practice address
370 W Sellers Rd
Marion, SC 29571-6093
Phone
(843) 423-7876
Fax
(843) 423-8273
NPI assigned
Dec 11, 2006
Organization subpart
Yes
Parent organization
TRINITY BEHAVIORAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. William T. O'Connor
Title
Executive Director
Phone
(843) 423-8292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ITP-005 SC
Substance Abuse Rehabilitation Facility 324500000X ITP-005 SC Primary

Addresses

Primary practice location

370 W Sellers Rd
Marion, SC 29571-6093

Mailing address

PO Box 1011
Marion, SC 29571-1011
Phone (843) 423-7876

Other identifiers 1

IdentifierTypeStateIssuer
AD20MDMedicaidSC

Other names 1

  • Spring Branch Residential Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinity Behavioral Care - Marlboro Office6 organizations share this tax ID, including this one
Part of
Trinity Behavioral Care - Marlboro Office

Other organizations with this tax ID 5

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1780744706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295711011",
            "telephone_number": "843-423-7876",
            "fax_number": "843-423-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W SELLERS RD",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716093",
            "telephone_number": "843-423-7876",
            "fax_number": "843-423-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY BEHAVIORAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY BEHAVIORAL CARE",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-423-8292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "ITP-005",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SC",
            "license": "ITP-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD20MD",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Branch Residential Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.