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Contact Information

SC DDSN (MIDLANDS CENTER)
8301 FARROW RD
COLUMBIA, SC29203-3245
 Phone: 803-935-7543
 Fax: 803-935-6781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for SC DDSN (MIDLANDS CENTER)

NPI Number 1326189481
LBN Legal business name SC DDSN (MIDLANDS CENTER)
Authorized official MANORAMA MISHRA - (STAFF PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 11487
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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