Williamsburg Regional Hospital

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

WILLIAMSBURG REGIONAL HOSPITAL

Practice address

500 Nelson Blvd
Kingstree, SC 29556-4027

Phone

(843) 355-8888

Fax

(843) 355-9994

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Allen Abernethy

Title

Ceo

Phone

(843) 355-0151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 420059

Legal name

WILLIAMSBURG REGIONAL HOSPITAL

Certification status

Terminated Other: provider status change, Oct 31, 2004

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Dec 11, 2001

Beds

78

Ownership / control type

Hospital district or authority

Facility address

500 Nelson Blvd
Kingstree, SC 29556

Hospital certification: CCN 421303

Legal name

WILLIAMSBURG REGIONAL HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Jan 17, 2023

Provider type (POS)

Hospital – Critical access hospital

Participating since

Nov 1, 2004

Last certification

May 19, 2017

Beds

25

Ownership / control type

Private (not for profit)

Facility address

500 Nelson Boulevard
Kingstree, SC 29556

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1124192109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NELSON BLVD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564027",
            "telephone_number": "843-355-0303",
            "fax_number": "843-355-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NELSON BLVD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564027",
            "telephone_number": "843-355-8888",
            "fax_number": "843-355-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "ABERNETHY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-355-0151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Sylvia Wilson

• Critical Access Hospital in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Critical Access Hospital in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.