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ANDERSON SCHOOL DISTRICT FOUR
NPI 1104252584
Registered Nurse in Anderson, SC

Active since September 18, 2013CLIA 42D2206111 · Waiver
7324 HIGHWAY 187, ANDERSON, SC 29625(864) 403-2100(864) 646-8066 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anderson School District Four NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDERSON SCHOOL DISTRICT FOUR (NPI 1104252584) is a healthcare organization registered as a registered nurse in Anderson, South Carolina and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Larry Young, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1104252584
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NameANDERSON SCHOOL DISTRICT FOUR
Location Address7324 HIGHWAY 187Anderson, SC 29625-6911
Mailing Address315 E Queen StPendleton, SC 29670-1721 · (864) 403-2000 · Fax (864) 403-2099
Phone(864) 403-2100
Fax(864) 646-8066
Organization SubpartNo
Authorized OfficialLarry YoungChief Financial Officer · (864) 403-2000
Enumeration DateSeptember 18, 2013
✔ NPI 1104252584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in SC · 213023
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
7324 HIGHWAY 187, Anderson, SC 29625
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Other Identifiers 1

MedicaidSD0404SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2206111

Anderson School District 4 · Pendleton, SC
Active · expires Dec 16, 2026
CLIA Number42D2206111
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorFelicia Berkeley
Laboratory Phone(864) 403-2508
Laboratory LocationAnderson School District 4315 E Queen Street, Pendleton, SC 29670
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH TEUSCH ATC
Specialist/Technologist (Athletic Trainer)
7324 HIGHWAY 187
ANDERSON, SC 29625
Anderson County (864) 403-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anderson School District Four's NPI number?

The NPI number for Anderson School District Four is 1104252584. It was assigned to this organization in the NPPES registry on September 18, 2013.

Where is Anderson School District Four located?

Anderson School District Four is located at 7324 Highway 187, Anderson, SC 29625. The listed phone number is (864) 403-2100.

What is Anderson School District Four's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Does Anderson School District Four hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2206111) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anderson School District Four was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.