Organization Active NPI

South Carolina Health Services

  • Ambulatory Surgical Clinic/Center
  • Okatie, SC
National Provider Identifier
1992851075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF-075 Issued in SC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ASC246MedicaidSC
P00112549OtherSCRAILROAD MEDICARE

Other names 1

  • Bluffton Okatie Outpatient Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.