NPIMap

SC Department of Juvenile Justice

Organization Active NPI Community/Behavioral Health Agency · Greenwood, SC

NPI 1992058366 · NPPES record last updated Nov 7, 2012

Key facts

NPI
1992058366
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
SC DEPARTMENT OF JUVENILE JUSTICE
Practice address
528 Monument St
Greenwood, SC 29646-2643
Phone
(864) 229-6648
NPI assigned
Oct 22, 2012
Organization subpart
No

Authorized official

Name
Margaret Barber
Title
Agency Director
Phone
(803) 896-5940

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
SC Dept of Health and Environmental Control (280 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

528 Monument St
Greenwood, SC 29646-2643

Mailing address

PO Box 21069
Columbia, SC 29221-1069

Other identifiers

IdentifierTypeStateIssuer
DJJ001MedicaidSC

Other names

  • Abbeville County DJJ Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2012.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1992058366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21069",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292211069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 MONUMENT ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462643",
            "telephone_number": "864-229-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC DEPARTMENT OF JUVENILE JUSTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "803-896-5940"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DJJ001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbeville County DJJ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenwood, SC

All providers in Greenwood, SC · Community/Behavioral Health Agency in South Carolina

Sources for this page

Verify at the official NPI Registry.