1528276177 NPI number — SENTINEL HEALTH PARTNERS, PA

Table of content: TAYLOR STARNS MSW, LCSW (NPI 1649739830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528276177 NPI number — SENTINEL HEALTH PARTNERS, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SENTINEL HEALTH PARTNERS, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528276177
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1259
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMDEN
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29021-1259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-713-8350
Provider Business Mailing Address Fax Number:
803-713-8433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 ROBERTS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29020-3759
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-432-6186
Provider Business Practice Location Address Fax Number:
803-432-1177
Provider Enumeration Date:
05/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCALPINE
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
C
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
803-713-8350

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: GP1674 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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