<Unavail>

LBN: Pine Hill Indian Community Development Initiative
<Unavail> is an health care organization with primary practice located at 4631 Savannah Hwy , North SC 29112-8180. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty. Pine Hill Indian Community Development Initiative can be contacted via phone (803) 247-2534, or through Mitchum, Michelle via phone (803) 662-3777.

Contact Information

Primary practice address
4631 Savannah Hwy North SC 29112-8180
Phone: (803) 247-2534
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchum, Michelle MSCJ/LAW, CHW
Phone: (803) 662-3777

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1467008300
LBN Legal business name Pine Hill Indian Community Development Initiative
DBA Doing business as <Unavail>
Authorized official Mitchum, Michelle MSCJ/LAW, CHW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2019
Last updated Sep 23rd, 2021 - about 5 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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