OrganizationActive
Management Services of Santee
NPI 1104228311 · Exclusive Provider Organization · Santee, SC
Provider details
- NPI number
- 1104228311
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Vanester Ravenell, Business Manager(803) 854-4106
Specialties & taxonomies
Managed Care Organizations
Practice location
1580 Bass Dr
Santee, SC 29142-0000
Phone: (803) 854-4106
Fax: (803) 854-5301
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 947
Santee, SC 29142-0947
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2014-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.