| South Carolina Dept Of Mental Health Accounting Office | |
|
1035 Cheraw St Bennetsville SC 29512 | |
| (843) 454-0841 | |
| Not Available |
| Full Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1035 Cheraw St, Bennetsville, South Carolina |
| Authorized Official Name and Position | Felicia Quick (FISCAL TECH II - BILLER) |
| Authorized Official Contact | 8435444060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Carolina Dept Of Mental Health Accounting Office Po Box 918 1035 Cheraw St Bennettsville SC 29512 Ph: (843) 454-0841 | South Carolina Dept Of Mental Health Accounting Office 1035 Cheraw St Bennetsville SC 29512 Ph: (843) 454-0841 |
| NPI Number | 1609979640 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609979640 | NPI | - | NPPES |
| 405127 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |