Provider Demographics
NPI:1093082141
Name:SC DEPARTMENT OF HEALTH AND HUMAN SERVICES
Entity Type:Organization
Organization Name:SC DEPARTMENT OF HEALTH AND HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:COURSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-898-1964
Mailing Address - Street 1:1801 MAIN STREET
Mailing Address - Street 2:SUITE 1246
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201
Mailing Address - Country:US
Mailing Address - Phone:803-898-1964
Mailing Address - Fax:
Practice Address - Street 1:1801 MAIN STREET
Practice Address - Street 2:SUITE 1246
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201
Practice Address - Country:US
Practice Address - Phone:803-898-1964
Practice Address - Fax:803-870-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2019-06-18
Deactivation Date:2012-05-14
Deactivation Code:
Reactivation Date:2019-06-17
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management