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Contact Information

PINE HILL INDIAN COMMUNITY DEVELOPMENT INITIATIVE
4631 SAVANNAH HWY
NORTH, SC29112-8180
 Phone: 803-247-2534
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for PINE HILL INDIAN COMMUNITY DEVELOPMENT INITIATIVE

NPI # 1467008300
LBN Legal business name PINE HILL INDIAN COMMUNITY DEVELOPMENT INITIATIVE
Authorized official MICHELLE MITCHUM - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2019
Last updated 09/23/2021 - About 5 years ago
Identifiers n/a
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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