NPIMap

Organization Active NPI

State of South Carolina

  • Public Health or Welfare Agency
  • Rock Hill, SC
National Provider Identifier
1841374485
Registry record updated Jul 24, 2024
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
1070 Heckle Boulevard
Rock Hill, SC 29732
Phone
(803) 909-7300
Fax
(803) 394-8856
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Zanna Perkins
Title
Director of Patient Billing
Phone
(803) 898-1553

Specialties & licenses 1

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

Addresses

Primary practice location

1070 Heckle Boulevard
Rock Hill, SC 29732

Mailing address

2100 Bull St
Columbia, SC 29201-2104
Phone (803) 898-1553

Other identifiers 3

IdentifierTypeStateIssuer
601232OtherSCSELECT HEALTH PROVIDER #
DHEC46MedicaidSC
000000155821OtherSCUNISON HEALTH PLAN OF SC

Other names 3

  • SC DHEC Doing business as
  • SC DPH Doing business as
  • SC Department of Public Health 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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1841374485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BULL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012104",
            "telephone_number": "803-898-1553",
            "fax_number": "803-898-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HECKLE BOULEVARD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-909-7300",
            "fax_number": "803-394-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "ZANNA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT BILLING",
        "authorized_official_telephone_number": "803-898-1553"
    },
    "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": "601232",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DHEC46",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OF SC",
            "identifier": "000000155821",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC DHEC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SC DPH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SC Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.