Provider Demographics
NPI:1891942801
Name:SCALE DOWN
Entity type:Organization
Organization Name:SCALE DOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMPION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-591-1700
Mailing Address - Street 1:1455 E MAIN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-2243
Mailing Address - Country:US
Mailing Address - Phone:864-583-5787
Mailing Address - Fax:864-591-0007
Practice Address - Street 1:1455 E MAIN ST STE 107
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-2243
Practice Address - Country:US
Practice Address - Phone:864-583-5787
Practice Address - Fax:864-591-0007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HORIZON HEMATOLOGY ONCOLOGY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19003174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP2317Medicaid
SC4606363OtherCIGNA
SC5704Medicare PIN
SC4606363OtherCIGNA