NPIMap

Organization Active NPI

Intermedical Hospital of South Carolina Inc

  • Special Hospital
  • Columbia, SC
National Provider Identifier
1104863331
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
002405 Issued in SC
Legal business name
INTERMEDICAL HOSPITAL OF SOUTH CAROLINA INC
Practice address
Taylor @ Marion STS
Columbia, SC 29220-0001
Phone
(803) 296-3097
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Mr. R. Andrew Donahue
Title
Ceo
Phone
(803) 296-5425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 002405 SC Primary

Addresses

Primary practice location

Taylor @ Marion STS
Columbia, SC 29220-0001

Mailing address

PO Box 11069
Columbia, SC 29211-1069

Other identifiers 1

IdentifierTypeStateIssuer
A76000MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1104863331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11069",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292111069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAYLOR @ MARION STS",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292200001",
            "telephone_number": "803-296-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMEDICAL HOSPITAL OF SOUTH CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "R. ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-296-5425",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "SC",
            "license": "002405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A76000",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.