NPIMap

Organization Active NPI

Self Regional Healthcare

Doing business as SRH - Inpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
National Provider Identifier
1023046612
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
038 Issued in SC
Legal business name
SELF REGIONAL HEALTHCARE
Doing business as
SRH - Inpatient Services
Practice address
1325 Spring St
Greenwood, SC 29646-3860
Phone
(864) 725-4252
Fax
(864) 725-5789
NPI assigned
Jun 30, 2006
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Matthew T Logan, MDNPI 1902868078
Title
President & Ceo
Phone
(864) 725-4253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU
General Acute Care Hospital 282N00000X 038 SC Primary

Addresses

Primary practice location

1325 Spring St
Greenwood, SC 29646-3860

Mailing address

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4252

Other identifiers 1

IdentifierTypeStateIssuer
417160MedicaidSC

Other names 1

  • SRH - INPATIENT SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000365 SC Part A Provider - Hospital 4082527742 3 other NPIs on this enrollment
Practice locations: MC Cormick, SC; Laurens, SC; Greenwood, SC; Clinton, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023046612. Details of each certification follow.

Hospital certification: CCN 420071

Legal name
SELF REGIONAL HEALTHCARE
Doing business as
SELF REGIONAL HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1969
Last certification
Sep 9, 2022
Beds
358
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Enrollment address
1325 Spring St
Greenwood, SC 29646-3860
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Self Regional HealthcareCCN 420071 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Self Regional Healthcar49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Networks

  • SC HMO

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew T Logan Individual Corporate OfficerPresident and Ceo Dec 21, 2021
W-2 Managing EmployeePresident and Ceo Dec 21, 2021
Self Regional Healthcare Organization, Greenwood, SC Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Sep 30, 2025 100%
Clint J Stewart Individual Corporate OfficerVP & Cfo Oct 21, 2024
W-2 Managing Employee Oct 21, 2024

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abbeville Area Medical CenterAbbeville, SC, CCN 421301 Hospital Operational/Managerial Control (100%) Oct 1, 2023
Edgefield County Healthcare an Affiliate of Self Regional HealthcareEdgefield, SC, CCN 421304 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Self Regional Healthcare PartnersEdgefield, SC, CCN 42Z304 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Abbeville Hospital Swingbed UnitAbbeville, SC, CCN 42Z301 Hospital Operational/Managerial Control (100%) Oct 1, 2023
Abbeville Area Healthcare CenterAbbeville, SC, CCN 423451 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2023
Due West Family MedicineDue West, SC, CCN 423453 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2023
Edgefield Medical CenterEdgefield, SC, CCN 423436 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Family Healthcare North SaludaSaluda, SC, CCN 873806 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 27, 2009
Self Medical Center JohnstonJohnston, SC, CCN 428515 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 74

Affiliated clinicians 601

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 601

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1023046612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4252",
            "fax_number": "864-725-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4252",
            "fax_number": "864-725-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF REGIONAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "864-725-4253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417160",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRH - INPATIENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SRH - INPATIENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.