Provider Demographics
NPI:1588863641
Name:REGIONAL OUTPATIENT HEALTH SERVICES
Entity type:Organization
Organization Name:REGIONAL OUTPATIENT HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ADMINSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARPERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-534-8808
Mailing Address - Street 1:1393A SHILLINGS BRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-8749
Mailing Address - Country:US
Mailing Address - Phone:803-534-8808
Mailing Address - Fax:803-534-8809
Practice Address - Street 1:1393A SHILLINGS BRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115-8749
Practice Address - Country:US
Practice Address - Phone:803-534-8808
Practice Address - Fax:803-534-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0834OtherPROVIDER NUMBER