Kershaw County Teen Health Promotion Coalition

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KERSHAW COUNTY TEEN HEALTH PROMOTION COALITION

Practice address

110 E Dekalb St
Camden, SC 29020-4432

Phone

(803) 425-1892

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Juanita Mendenhall, MA, CFLE, CFCS

Title

Executive Director

Phone

(803) 425-1892

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801925029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290200626",
            "telephone_number": "803-425-1892",
            "fax_number": "803-425-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E DEKALB ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204432",
            "telephone_number": "803-425-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW COUNTY TEEN HEALTH PROMOTION COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDENHALL",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-425-1892",
        "authorized_official_credential": "MA, CFLE, CFCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0068",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kershaw County Board of Disabilities and Special Needs
• Kershaw County Commission on Alcohol and Drug Abuse
• Kershaw County Commission on Alcohol and Drug Abuse (ALPHA Behavioral Health Center)
• Kershaw County School District
• Kershaw County School District
• Kershaw Health (Kershawhealth Pathology)
• Kershaw Hospital LLC
• Kershaw Hospital LLC
• Kershaw Hospital LLC
• Kershaw Hospital LLC

• Community/Behavioral Health Agency in Camden, SC
• Providers in Camden, SC by specialty
• Community/Behavioral Health Agency 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.