Marion-Dillon County Board of Disabilities and Special Needs

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

CRC-1377 Issued in SC

Legal business name

MARION-DILLON COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS

Practice address

400 ML King Drive
Marion, SC 29571-1082

Phone

(843) 423-4484

Fax

(843) 423-0857

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By 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

Mr. Gary Michael Keith

Title

Executive Director

Phone

(843) 423-4484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790820041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ML KING DRIVE",
            "address_2": "PO BOX 1082",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295711082",
            "telephone_number": "843-423-4484",
            "fax_number": "843-423-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ML KING DRIVE",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295711082",
            "telephone_number": "843-423-4484",
            "fax_number": "843-423-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION-DILLON COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-423-4484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "SC",
            "license": "CRC-1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Nursing Center,Inc
• Marion Physical Therapy, LLC
• Marion Physician Services LLC (Marion Medical Group)
• Marion Rescue Squad Inc
• Marion School District One
• Marlboro County Rescue Squad Inc (Palmetto Transport Systems)
• Aimee Wiggins Martin, FNP
• Rachel J. Mason, ED.D.
• Charles William MC Rae, M.D.
• Tiffany Antionette McBride

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Marion, SC
• Providers in Marion, SC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.