NPIMap

Organization Active NPI

State of South Carolina

  • Public Health or Welfare Agency
  • Anderson, SC
National Provider Identifier
1780767285
Registry record updated Dec 2, 2020
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
220 McGee Road
Anderson, SC 29625
Phone
(864) 260-5541
Fax
(864) 260-1014
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Mr. Kendall F. Quinton Sr.
Title
Director of Receivables
Phone
(803) 898-1164

Specialties & licenses 1

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

Addresses

Primary practice location

220 McGee Road
Anderson, SC 29625

Mailing address

2600 Bull Street
Columbia, SC 29201-1708
Phone (803) 898-1164

Other identifiers 3

IdentifierTypeStateIssuer
601231OtherSCSELECT HEALTH PROVIDER #
DHEC04MedicaidSC
000000155818OtherSCUNISON HEALTH PLAN OF SC

Other names 1

  • SC DHEC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000393 SC Part B Supplier - Public Health/Welfare Agency 4789650003 45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ridgeland, SC; Pickens, SC; Orangeburg, SC; Newberry, SC; N Charleston, SC; Moncks Corner, SC; McCormick, SC; Manning, SC…

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1780767285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BULL STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011708",
            "telephone_number": "803-898-1164",
            "fax_number": "803-898-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MCGEE ROAD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29625",
            "telephone_number": "864-260-5541",
            "fax_number": "864-260-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "QUINTON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR OF RECEIVABLES",
        "authorized_official_telephone_number": "803-898-1164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER #",
            "identifier": "601231",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DHEC04",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OF SC",
            "identifier": "000000155818",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC DHEC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.