Southern Creative Care

LBN: Southern Creative Care
Southern Creative Care is an health care organization with primary practice located at 110 Ellison St , Bennettsville SC 29512-3708. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southern Creative Care can be contacted via phone (910) 630-4247, or through Houchens, Barbara via phone (910) 630-4247.

Contact Information

Primary practice address
110 Ellison St Bennettsville SC 29512-3708
Phone: (910) 630-4247
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Houchens, Barbara
Phone: (910) 630-4247

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1861977308
LBN Legal business name Southern Creative Care
DBA Doing business as
Authorized official Houchens, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2018
Last updated Oct 1st, 2018 - about 7 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 1861977308 NPPES
South Carolina MEDICAID GP7407

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