EXCALIBUR YOUTH SERVICES, LLC. – NPI #1487174462
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

EXCALIBUR YOUTH SERVICES, LLC. is a provider located in SIMPSONVILLE, SC. NPPES has assigned the NPI number 1487174462 to EXCALIBUR YOUTH SERVICES, LLC. on June 21, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXCALIBUR YOUTH SERVICES, LLC. below.

NPI Profile for
EXCALIBUR YOUTH SERVICES, LLC.

NPI Number
1487174462
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXCALIBUR YOUTH SERVICES, LLC.
Primary location
3683 S INDUSTRIAL DR
SIMPSONVILLE, SC 29681-3238
Phone: (864) 836-7220 Fax:
Mailing address
PO BOX 968
TRAVELERS REST, SC 29690-0968
Phone: (864) 836-7220 Fax:
Organization Subpart
No
Authorized Official
JOHN SHORT
CEO
Phone: (864) 836-7220
Updated
Identifiers

Identifiers for EXCALIBUR YOUTH SERVICES, LLC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSC1083852511
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 SC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.