Shoreline Behavioral Health Services

LBN: Shoreline Behavioral Health Services
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 Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Shoreline Behavioral Health Services can be contacted via phone (843) 365-8884, or through Coffin, John via phone (843) 365-8884.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X South Carolina
Agencies / Community/Behavioral Health 251S00000X 57-0741188 South Carolina

Profile Details

NPI number 1629467022
LBN Legal business name Shoreline Behavioral Health Services
DBA Doing business as
Authorized official Coffin, John ED
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2015
Last updated Jan 22nd, 2015 - about 11 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 1629467022 NPPES
South Carolina MEDICAID 57-0741188

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