Provider Demographics
NPI:1578938015
Name:COMPANION BENEFIT ALTERNATIVES
Entity Type:Organization
Organization Name:COMPANION BENEFIT ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:HECKART
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-868-1032
Mailing Address - Street 1:PO BOX 100185
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-3185
Mailing Address - Country:US
Mailing Address - Phone:800-868-1032
Mailing Address - Fax:803-714-6456
Practice Address - Street 1:4101 PERCIVAL RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8320
Practice Address - Country:US
Practice Address - Phone:800-868-1032
Practice Address - Fax:803-714-6456
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLUECROSS BLUESHIELD OF SOUTH CAROLINA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-09
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management