NPIMap

Organization Active NPI

Edgefield County Hospital

  • Critical Access Hospital
  • Edgefield, SC
National Provider Identifier
1023080439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
EDGEFIELD COUNTY HOSPITAL
Practice address
300 Ridge Medical Plaza
Edgefield, SC 29824-0590
Phone
(803) 637-1157
Fax
(803) 637-0200
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carmen Sprouse
Title
Billing Specialist
Phone
(803) 637-1157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

300 Ridge Medical Plaza
Edgefield, SC 29824-0590

Mailing address

PO Box 590
Edgefield, SC 29824-0590
Phone (803) 637-1157

Other identifiers 2

IdentifierTypeStateIssuer
447587MedicaidSC
448525MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023080439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "298240590",
            "telephone_number": "803-637-1157",
            "fax_number": "803-637-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIDGE MEDICAL PLAZA",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "298240590",
            "telephone_number": "803-637-1157",
            "fax_number": "803-637-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEFIELD COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPROUSE",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "803-637-1157",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447587",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448525",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgefield, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.