Babcock Center, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Columbia, SC
NPI 1831463538 · NPPES record last updated Feb 28, 2012
Key facts
- NPI
- 1831463538
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- BABCOCK CENTER, INC.
- Practice address
- 2725 Banny Jones Ave
West Columbia, SC 29170-2109 - Phone
- (803) 799-1970
- Fax
- (803) 799-3418
- NPI assigned
- Feb 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Judith E. Johnson
- Title
- President/Ceo
- Phone
- (803) 799-1970
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1028888 | Babcock Center Inc | Certificate of waiver | Aug 3, 2026 |
National Provider Directory
Locations
2725 Banny Jones Ave
West Columbia, SC 29170
Phone (803) 799-1970
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | SC | Yes | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | SC |
Addresses
Primary practice location
2725 Banny Jones Ave
West Columbia, SC 29170-2109
Mailing address
PO Box 4389
West Columbia, SC 29171-4389
Phone (803) 799-1970
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.