| Amisub Of South Carolina, Inc. | |
|
222 S Herlong Ave Rock Hill SC 29732-1158 | |
| (803) 329-1234 | |
| Not Available |
| Full Name | Amisub Of South Carolina, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 222 S Herlong Ave, Rock Hill, South Carolina |
| Authorized Official Name and Position | Steve Gilmore (CFO) |
| Authorized Official Contact | 8033296829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amisub Of South Carolina, Inc. Po Box 740772 Atlanta GA 30374-0772 Ph: (803) 329-6730 | Amisub Of South Carolina, Inc. 222 S Herlong Ave Rock Hill SC 29732-1158 Ph: (803) 329-1234 |
| NPI Number | 1932134384 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Medicare PECOS PAC ID | 8022116672 |
|---|---|
| Medicare Enrollment ID | O20091221000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932134384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 417 (South Carolina) | Primary |
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