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South Carolina Dept of Mental Health Accounting Office

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Beaufort, SC

NPI 1831200310 · NPPES record last updated Sep 20, 2019

Key facts

NPI
1831200310
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Practice address
1050 Ribaut Rd
Beaufort, SC 29902
Phone
(843) 524-8899
Fax
(843) 524-8179
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization (as reported)
COASTAL EMPIRE COMMUNITY MENTAL HEALTH CENTER

Authorized official

Name
Tracy L Turner
Title
Controller
Phone
(803) 898-8503

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 283

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 283

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Carolina Dept of Mental Health Accounting Office
Columbia, SC · CCN 424005		 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 1978
Patrick B Harris Psychiatric Hospital
Anderson, SC · CCN 424011		 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Sep 7, 2016
Dec 29, 1986
CM Tucker Jr Nursing Care
Columbia, SC · CCN 425074		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1970
Jan 1, 1970
C.M. Tucker Jr Nursing Care Center-Roddey Pavillion
Columbia, SC · CCN 425360		 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jan 1, 2006

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050804000388 SC Part B Supplier - Clinic/Group Practice 9032021175 Receives reassigned benefits from 19 practitioners
Practice locations: Beaufort, SC; Walterboro, SC; Varnville, SC; Ridgeland, SC; Hilton Head, SC

National Provider Directory

Tax ID family
Lexington Co Comm Men H (61 organizations share this tax ID)
Part of
Lexington Co Comm Men H

Locations

603 Barnwell Hwy
Allendale, SC 29810
Phone (803) 584-4636

151 Dillon Rd
Hilton Head Island, SC 29926
Phone (843) 473-6355

1510 Grays Hwy
Ridgeland, SC 29936
Phone (843) 547-7072

65 Forest Dr
Varnville, SC 29944
Phone (803) 943-2828

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

1050 Ribaut Rd
Beaufort, SC 29902

Mailing address

1050 Ribaut Rd
Beaufort, SC 29902-5400
Phone (843) 524-8899

Other identifiers

IdentifierTypeStateIssuer
391383MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 20, 2019.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1831200310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025400",
            "telephone_number": "843-524-8899",
            "fax_number": "843-524-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-524-8899",
            "fax_number": "843-524-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL EMPIRE COMMUNITY MENTAL HEALTH CENTER",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "803-898-8503"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391383",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

All providers in Beaufort, SC · Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

Sources for this page

Verify at the official NPI Registry.