Basic Information
| Provider Information | |||||||||
| NPI: | 1235655630 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARCIS HEALTHCARE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 93 SPRINGVIEW LN UNIT B | ||||||||
| Address2: | |||||||||
| City: | SUMMERVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294858143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8432664883 | ||||||||
| FaxNumber: | 8437935444 | ||||||||
| Practice Location | |||||||||
| Address1: | 1951 CLEMENTS FERRY RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294927724 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437975050 | ||||||||
| FaxNumber: | 8437973633 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2017 | ||||||||
| LastUpdateDate: | 08/17/2017 | ||||||||
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| AuthorizedOfficialLastName: | BECKER | ||||||||
| AuthorizedOfficialFirstName: | DONALD | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8437975050 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | SC | N | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment | 332B00000X | SC | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.