Mental Health Of South Carolina

LBN: Kiva Lodge
Mental Health Of South Carolina is an health care organization with primary practice located at 200 Claude Bundrick Rd , Blythewood SC 29016-9420. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Kiva Lodge can be contacted via phone (803) 754-5478, or through Tyler, Ruth Z via phone (803) 754-5478.

Contact Information

Primary practice address
200 Claude Bundrick Rd Blythewood SC 29016-9420
Phone: (803) 754-5478
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tyler, Ruth Z
Phone: (803) 754-5478

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1366764870
LBN Legal business name Kiva Lodge
DBA Doing business as Mental Health Of South Carolina
Authorized official Tyler, Ruth Z
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 25th, 2010
Last updated Feb 25th, 2010 - about 15 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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