CCN: 421580 NPI: 1558578609 Organization

Interim Health Care Of The Triad, Inc

154 AMENDMENT AVE STE 106
ROCK HILL, SC 297323156

Contact Information

Phone 8033244166
Fax 8033247449
Enumeration Date 2007-05-17
Last Updated 2017-09-19

Taxonomies

Code: 251G00000X (Primary) License State: SC License: HPC-125

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 16740

providerType 35

censusDivision 3

cbsaActualGeographicLocation 16740

providerType 35

censusDivision 3

cbsaActualGeographicLocation 16740

providerType 35

censusDivision 3

cbsaActualGeographicLocation 16740

providerType 35

censusDivision 3

cbsaActualGeographicLocation 16740

providerType 35

censusDivision 3

cbsaActualGeographicLocation 16740

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16740

providerType 35

specialPaymentIndicator

carrierCode 11202

localityCode 01