Active NPI
Lee County Disabilities and Special Needs Board
- Early Intervention Provider Agency
- Bishopville, SC
National Provider Identifier
1992267066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- LEE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
- Practice address
- 842 McLeod Rd
Bishopville, SC 29010-1100 - Phone
- (803) 484-9473
- Fax
- (803) 484-5710
- NPI assigned
- Apr 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacquetta P Jenkins
- Title
- Director of Operations
- Phone
- (803) 484-9473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
842 McLeod Rd
Bishopville, SC 29010-1100
Mailing address
PO Box 468
Bishopville, SC 29010-0468
Phone (803) 484-9473
Other names 1
- Lee County DSN Board
National Provider Directory
National Provider DirectoryLocations
842 McLeod Rd
Bishopville, SC 29010
Phone (803) 484-9473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554422400000",
"number": "1992267066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290100468",
"telephone_number": "803-484-9473",
"fax_number": "803-484-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 MCLEOD RD",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290101100",
"telephone_number": "803-484-9473",
"fax_number": "803-484-5710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-05",
"last_updated": "2019-04-05",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "JACQUETTA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "803-484-9473",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lee County DSN Board",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bishopville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.