Organization
THE METHODIST OAKS
Active
Parent organization
THE METHODIST OAKS
Other names
The Oaks PACE
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE METHODIST OAKS
Authorized official
MR. SCOTT EWING (COO)
(803) 534-1212
Entity
Organization
Contact information
Practice address
153 FOUNDERS CT, ORANGEBURG, SC 29118-2087
(803) 268-5300
(803) 268-5302
Mailing address
153 FOUNDERS CT, ORANGEBURG, SC 29118-2087
(803) 268-5300
(803) 268-5302
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0105
CMS CONTRACT NUMBER
SC
Enumeration date
07/24/2012
Last updated
07/24/2012
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