South Carolina HIV/AIDS Council

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

42D1011461 Issued in SC

Legal business name

SOUTH CAROLINA HIV/AIDS COUNCIL

Practice address

1115 Calhoun St
Columbia, SC 29201-2417

Phone

(803) 254-6644

Fax

(803) 254-2209

NPI assigned

Dec 17, 2009

Last updated

Dec 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bambi W Gaddist, DRPH

Title

Executive Director

Phone

(803) 254-6644

Specialties & licenses 1

Addresses

Other names 1

• SC HIV/AIDS Council Other name

Locations

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1962731117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012417",
            "telephone_number": "803-254-6644",
            "fax_number": "803-254-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012417",
            "telephone_number": "803-254-6644",
            "fax_number": "803-254-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA HIV/AIDS COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "GADDIST",
        "authorized_official_first_name": "BAMBI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-254-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D1011461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC HIV/AIDS Council",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.