Active NPI
South Carolina Health Services
- Ambulatory Surgical Clinic/Center
- Okatie, SC
National Provider Identifier
1992851075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- ASF-075
- Legal business name
- SOUTH CAROLINA HEALTH SERVICES
- Practice address
- 40 Okatie Center Blvd
Suite 125
Okatie, SC 29909-7507 - Phone
- (843) 705-8804
- Fax
- (843) 705-8950
- NPI assigned
- Jan 25, 2007
- 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
- Terri-Marie Mahoney, RN
- Title
- Director
- Phone
- (843) 705-8823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ASF-075 | SC | Primary |
Addresses
Primary practice location
40 Okatie Center Blvd
Suite 125
Okatie, SC 29909-7507
Mailing address
PO Box 403615
Atlanta, GA 30385-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASC246 | Medicaid | SC | |
| P00112549 | Other | SC | RAILROAD MEDICARE |
Other names 1
- Bluffton Okatie Outpatient Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992851075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403615",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303850001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 OKATIE CENTER BLVD",
"address_2": "SUITE 125",
"city": "OKATIE",
"state": "SC",
"postal_code": "299097507",
"telephone_number": "843-705-8804",
"fax_number": "843-705-8950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CAROLINA HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAHONEY",
"authorized_official_first_name": "TERRI-MARIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "843-705-8823",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "SC",
"license": "ASF-075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ASC246",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00112549",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bluffton Okatie Outpatient Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Okatie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.