Provider Demographics
NPI:1578525036
Name:CSS SERVICES LLC
Entity Type:Organization
Organization Name:CSS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:S
Authorized Official - Last Name:STILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-527-7700
Mailing Address - Street 1:209 PATEWOOD DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615
Mailing Address - Country:US
Mailing Address - Phone:864-527-7700
Mailing Address - Fax:864-527-7701
Practice Address - Street 1:209 PATEWOOD DR
Practice Address - Street 2:SUITE 300
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-527-7700
Practice Address - Fax:864-527-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0617234207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3762Medicaid
SC7588Medicare ID - Type Unspecified