Provider Demographics
NPI:1952329153
Name:SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ACCOUNTING OFFICE
Entity Type:Organization
Organization Name:SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ACCOUNTING OFFICE
Other - Org Name:COLUMBIA AREA MENTAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:K
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-898-8503
Mailing Address - Street 1:PO BOX 4440
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29240-4440
Mailing Address - Country:US
Mailing Address - Phone:803-898-4880
Mailing Address - Fax:803-898-4899
Practice Address - Street 1:2715 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6818
Practice Address - Country:US
Practice Address - Phone:803-898-4880
Practice Address - Fax:803-898-4899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC195897Medicaid
SC20048848OtherSELECT HEALTH OF SC
SC260035207OtherMETROHEALTH RRB
SC000000177082OtherUNISON HEALTH PLAN OF SC
SC260035207OtherMETROHEALTH RRB