| Rubicon, Inc. | |
|
510 E Carolina Ave Hartsville SC 29550-4312 | |
| (843) 332-4156 | |
| (843) 332-4159 |
| Full Name | Rubicon, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 E Carolina Ave, Hartsville, South Carolina |
| Authorized Official Name and Position | Winston H Mcelveen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8433324156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubicon, Inc. 510 E Carolina Ave Po Box 2076 Hartsville SC 29550-4312 Ph: (843) 332-4156 | Rubicon, Inc. 510 E Carolina Ave Hartsville SC 29550-4312 Ph: (843) 332-4156 |
| NPI Number | 1477617876 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477617876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTP-038 (South Carolina) | Primary |
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