Medically Fragile Childrens Program in N Charleston - Developmental Disabilities
Medically Fragile Childrens Program - NPI 1023153996
Medically Fragile Childrens Program is a Developmental Disabilities in N Charleston, South Carolina. Medically Fragile Childrens Program practices all healthcare services and medical treatments related to Developmental Disabilities. The NPI Number for Medically Fragile Childrens Program is 1023153996. The last update date is 2020-08-22.
Medically Fragile Childrens Program's current location address is 2750 Speissegger Drive, N Charleston, South Carolina. You can contact this provider via phone number 8438767007 and fax number 8435549230. The mailing address for Medically Fragile Childrens Program is 2750 Speissegger Drive, N Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medically Fragile Childrens Program |
|---|---|
| Address | 2750 Speissegger Drive, N Charleston, South Carolina |
| Phone Number | 8438767007 |
| Fax Number | 8435549230 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Smith Stuart William |
| Telephone Number | 8437924000 |
NPI Number Detail
| NPI Number | 1023153996 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2750 Speissegger Drive |
|---|---|
| City | N Charleston |
| State | South Carolina (SC) |
| Post Code | 294058701 |
| Phone Number | 8438767007 |
| Fax Number | 8435549230 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Disabilities |
|---|---|
| Taxonomy | 261Qd1600X |
|
Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many ins |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DRC009 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Medically Fragile Childrens Program?
The Medically Fragile Childrens Program has been issued the NPI (National Provider Identifier) 1023153996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Medically Fragile Childrens Program's physical address?
The Medically Fragile Childrens Program is physically located at 2750 Speissegger Drive, in the city of N Charleston, SC, with the postal code 294058701.
What is the Medically Fragile Childrens Program's area of specialization and corresponding taxonomy classification?
The Medically Fragile Childrens Program's specialty field is Developmental Disabilities, and it falls under the taxonomy code 261Qd1600X, which categorizes healthcare providers based on their specialties.
On what date did the Medically Fragile Childrens Program receive its 1023153996 assignment from the Centers for Medicare & Medicaid Services?
The Medically Fragile Childrens Program was assigned its 1023153996 by the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date were the details related to Medically Fragile Childrens Program most recently updated or revised?
The information pertaining to Medically Fragile Childrens Program, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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