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Organization
SPECIAL CARE MEDICAL OF SC, INC.
Active
Organization
SPECIAL CARE MEDICAL OF SC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER DAVID MCLENDON (CEO)
(803) 926-0161
Entity
Organization
Contact information
Practice address
3465 LEAPHART RD, WEST COLUMBIA, SC 29169-3029
(803) 926-0161
(803) 926-0345
Mailing address
PO BOX 21564, COLUMBIA, SC 29221-1564
(803) 926-0161
(803) 926-0345
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
65004336
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1323023
BC BS OF TN
SC
01
—
165226
UNISON PROVIDER #
SC
01
—
82597
NORTHWOODS NPN
SC
05
—
DME063
—
SC
Enumeration date
09/16/2005
Last updated
02/24/2023
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