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SC DEPT OF DISABILITIES & SPECIAL NEEDS

Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

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Contact Information

SC DEPT OF DISABILITIES & SPECIAL NEEDS
3440 HARDEN STREET EXTENSION
COLUMBIA, SC  29240-4706
 Phone: 803-898-9600
 Fax: 803-898-9653
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

 315P00000X
Indicates primary specialty

NPI Profile & details for SC DEPT OF DISABILITIES & SPECIAL NEEDS

NPI Number 1992868939
LBN Legal business name SC DEPT OF DISABILITIES & SPECIAL NEEDS
Authorized official ROBERT BARFIELD - (DEPUTY STATE DIRECTOR ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC Medicaid 0840NH
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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