Provider Demographics
NPI:1962138321
Name:BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA
Entity type:Organization
Organization Name:BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:038-264-1612
Mailing Address - Street 1:8901 FARROW RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-8930
Mailing Address - Country:US
Mailing Address - Phone:803-264-1612
Mailing Address - Fax:
Practice Address - Street 1:8901 FARROW RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-8930
Practice Address - Country:US
Practice Address - Phone:803-264-1612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare