Williamsburg Regional Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WILLIAMSBURG REGIONAL HOSPITAL

Practice address

500 Thurgood Marshall Hwy
Suite F
Kingstree, SC 29556

Phone

(843) 355-1772

Fax

(843) 355-1775

NPI assigned

Jan 1, 2011

Organization subpart

No

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

Authorized official

Name

Katie Dorrell

Title

Practice Manager

Phone

(843) 355-0197

Specialties & licenses 1

Addresses

Other names 1

• Williamsburg Regional Health Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Medical University Hospital Authority

  • Rural Health Clinic/Center
  • Kingstree, SC
  • NPI 1770219412

  Sold to, 2022-12-01

  CMS change of ownership

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

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1033413323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 THURGOOD MARSHALL HWY",
            "address_2": "SUITE F",
            "city": "KINGTREE",
            "state": "SC",
            "postal_code": "29556",
            "telephone_number": "843-355-1772",
            "fax_number": "843-355-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THURGOOD MARSHALL HWY",
            "address_2": "SUITE F",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "29556",
            "telephone_number": "843-355-1772",
            "fax_number": "843-355-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-01",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "DORRELL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "843-355-0197"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williamsburg Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Williamsburg County Alcohol and Drug Abuse
• Williamsburg County Disabilities and Special Needs Board
• Williamsburg County School District
• Williamsburg Medical Associates PA
• Williamsburg Recruitment & Staffing
• Williamsburg Regional Hospital
• Williamsburg Regional Hospital
• Williamsburg Regional Hospital
• Wilson Para-Transport
• April Wilson

• Rural Health Clinic/Center in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.