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Contact Information

CHANNEL THE BEACON
6650 RIVERS AVE
SUITE 1408
NORTH CHARLESTON, SC29406-4809
 Phone: 843-576-1408
 Fax: 843-278-9275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for CHANNEL THE BEACON

NPI # 1205260304
LBN Legal business name CHANNEL THE BEACON
Authorized official JOHNETTE SIMMONS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2013
Last updated 09/05/2014 - About 12 years ago
Identifiers
SC Medicaid CM1007
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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