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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