Organization Active NPI

Calba Enterprises, LLC

  • Independent Medical Examiner Physician
  • Beaufort, SC
National Provider Identifier
1851883714
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
Legal business name
CALBA ENTERPRISES, LLC
Practice address
330 Robert Smalls Pkwy
Beaufort, SC 29906-4237
Phone
(803) 747-8235
NPI assigned
Jun 5, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Cathy BagleyNPI 1871672485
Title
Credentialing Specialist
Phone
(843) 606-6776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X NU Primary

Addresses

Primary practice location

330 Robert Smalls Pkwy
Beaufort, SC 29906-4237

Mailing address

630 Highland St
Orangeburg, SC 29115-4357
Phone (803) 747-8235

National Provider Directory

National Provider Directory

Locations

330 Robert Smalls Pkwy
Beaufort, SC 29906
Phone (803) 747-8235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1851883714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HIGHLAND ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154357",
            "telephone_number": "803-747-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ROBERT SMALLS PKWY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299064237",
            "telephone_number": "803-747-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALBA ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "843-606-6776"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.