Shoreline Behavioral Health Services

LBN: Horry County Comm On Alcohol & Drug Abuse
Shoreline Behavioral Health Services is an health care organization with primary practice located at 2404 Wise Rd , Conway SC 29526-5521. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Community/Behavioral Health is the primary health care specialty. Horry County Comm On Alcohol & Drug Abuse can be contacted via phone (843) 365-8884, or through Coffin, John F via phone (834) 365-8884.

Contact Information

Primary practice address
2404 Wise Rd Conway SC 29526-5521
Phone: (843) 365-8884
Fax: (843) 365-6697
Website:
Map and Directions
Authorized official contact:
Name: Coffin, John F
Phone: (834) 365-8884

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X OTP-016 South Carolina

Profile Details

NPI number 1134158231
LBN Legal business name Horry County Comm On Alcohol & Drug Abuse
DBA Doing business as Shoreline Behavioral Health Services
Authorized official Coffin, John F
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated May 30th, 2023 - about 3 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 1134158231 NPPES
South Carolina MEDICAID AD26HR

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