# AMERIGROUP COMMUNITY CARE OF SOUTH CAROLI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417147059
- **Authorized official:** MS. SHARON BRUMLEY (SENIOR VICE PRESIDENT, REGULATORY S)
- **Authorized official phone:** (757) 962-6452

## Contact information

- **Practice address:** 250 BERRYHILL RD, SUITE 210, COLUMBIA, SC 29210-6470
- **Practice address phone:** (803) 551-2377
- **Mailing address:** 250 BERRYHILL ROAD, SUITE 210, COLUMBIA, SC 29210-6470
- **Mailing address phone:** (803) 551-2377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 161350 | SC | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 11/30/2011