Kershaw County Teen Health Promotion Coalition

LBN: Kershaw County Teen Health Promotion Coalition
Kershaw County Teen Health Promotion Coalition is an health care organization with primary practice located at 110 E Dekalb St , Camden SC 29020-4432. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Kershaw County Teen Health Promotion Coalition can be contacted via phone (803) 425-1892, or through Mendenhall, Juanita via phone (803) 425-1892.

Contact Information

Primary practice address
110 E Dekalb St Camden SC 29020-4432
Phone: (803) 425-1892
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mendenhall, Juanita MA, CFLE, CFCS
Phone: (803) 425-1892

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1801925029
LBN Legal business name Kershaw County Teen Health Promotion Coalition
DBA Doing business as
Authorized official Mendenhall, Juanita MA, CFLE, CFCS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1801925029 NPPES
South Carolina MEDICAID MC0068

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