Anderson District 4

LBN: Anderson District 4
Anderson District 4 is an health care organization with primary practice located at 315 E Queen St , Pendleton SC 29670-1721. The organization recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as the primary health care specialty. Anderson District 4 can be contacted via phone (864) 403-2000, or through Goodwin, Thomas Wayne via phone (864) 403-2000.

Contact Information

Primary practice address
315 E Queen St Pendleton SC 29670-1721
Phone: (864) 403-2000
Fax: (864) 403-2099
Website:
Map and Directions
Authorized official contact:
Name: Goodwin, Thomas Wayne LPES
Phone: (864) 403-2000

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3046 South Carolina

Profile Details

NPI number 1508102328
LBN Legal business name Anderson District 4
DBA Doing business as
Authorized official Goodwin, Thomas Wayne LPES
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2012
Last updated Dec 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508102328 NPPES
South Carolina MEDICAID SD0404

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