Provider Demographics
NPI:1740421338
Name:SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Entity Type:Organization
Organization Name:SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Other - Org Name:SCDMH COST SETTLEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-898-8503
Mailing Address - Street 1:2414 BULL ST
Mailing Address - Street 2:ATTN: COST SETTLEMENT
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-1906
Mailing Address - Country:US
Mailing Address - Phone:803-898-8511
Mailing Address - Fax:803-898-8526
Practice Address - Street 1:2414 BULL ST
Practice Address - Street 2:ATTN: COST SETTLEMENT
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-1906
Practice Address - Country:US
Practice Address - Phone:803-898-8511
Practice Address - Fax:803-898-8526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC0019MHMedicaid
SC342725Medicaid
SC322842Medicaid
SC391383Medicaid
SCA00503Medicaid
SC190166Medicaid
SC413093Medicaid
SC435176Medicaid
SC435201Medicaid
SC0009MHMedicaid
SC0726NFMedicaid
SC327877Medicaid
SCRTF011Medicaid
SC301100Medicaid
SC0549NHMedicaid
SC121328Medicaid
SC457633Medicaid
SCA00514Medicaid
SC101926Medicaid
SC136078Medicaid
SC195897Medicaid
SC405127Medicaid
SC421504Medicaid
SCA00515Medicaid