C M Tucker/Roddey Pavilion

LBN: South Carolina Dept Of Mental Health Accounting Office
C M Tucker/Roddey Pavilion is an health care organization with primary practice located at 2200 Harden St , Columbia SC 29203-7107. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. South Carolina Dept Of Mental Health Accounting Office can be contacted via phone (803) 898-8405, or through Bellamy, Versie via phone (803) 935-5761.

Contact Information

Primary practice address
2200 Harden St Columbia SC 29203-7107
Phone: (803) 898-8405
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bellamy, Versie
Phone: (803) 935-5761

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1205888260
LBN Legal business name South Carolina Dept Of Mental Health Accounting Office
DBA Doing business as C M Tucker/Roddey Pavilion
Authorized official Bellamy, Versie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 17th, 2006
Last updated Sep 20th, 2019 - about 6 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 1205888260 NPPES
South Carolina MEDICAID GP2117

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