NPI 1417147059

Amerigroup Community Care of South Caroli

Organisation Health Maintenance Organization Columbia, SC

Practice location

Address: 250 Berryhill Rd Suite 210, Columbia, SC 29210-6470
Phone: (803) 551-2377
Mailing address: 250 Berryhill Road Suite 210, Columbia, SC 29210-6470

Authorised official

Name: Sharon Brumley
Title: Senior Vice President, Regulatory S
Phone: (757) 962-6452

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 161350 (SC)

Other Health Maintenance Organization providers in South Carolina →

Registry record

NPI: 1417147059
Entity type: Organization
NPI issued: 30 Jul 2007
Record last updated: 30 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.