NPIMap

Organization Active NPI

State of South Carolina

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1972651503
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STATE OF SOUTH CAROLINA
Practice address
101 Executive Center Dr
Suite 215
Columbia, SC 29210-8411
Phone
(803) 896-5555
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Mrs. Lillian Roberson
Title
Manager, Division of Operations
Phone
(803) 896-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

101 Executive Center Dr
Suite 215
Columbia, SC 29210-8411

Mailing address

101 Executive Center Dr
Suite 215
Columbia, SC 29210-8411

Other names 1

  • SC DAODAS Other name

National Provider Directory

National Provider Directory

Locations

101 Executive Center Dr
Ste 215
Columbia, SC 29210
Phone (803) 896-5555

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1972651503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE CENTER DR",
            "address_2": "SUITE 215",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE CENTER DR",
            "address_2": "SUITE 215",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108411",
            "telephone_number": "803-896-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "MANAGER, DIVISION OF OPERATIONS",
        "authorized_official_telephone_number": "803-896-1145",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC DAODAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.