Active NPI
Medical University Hospital Authority
- Psychiatric Hospital Unit
- Florence, SC
National Provider Identifier
1124825211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- MEDICAL UNIVERSITY HOSPITAL AUTHORITY
- Doing business as
- MUSC Health Jean & Hugh Leatherman Behavioral Care Pavilion
- Practice address
- 121 E Cedar St
Florence, SC 29506-2576 - Phone
- (843) 792-1414
- NPI assigned
- Feb 26, 2025
- Organization subpart
- Yes
- Parent organization
- MEDICAL UNIVERSITY HOSPITAL AUTHORITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karyn Rae
- Title
- Chief, Payor Relations and Reimburs
- Phone
- (843) 876-1344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
121 E Cedar St
Florence, SC 29506-2576
Mailing address
PO Box 23467
New York, NY 10087-3469
Phone (843) 792-1414
Other names 1
- MUSC Health Jean & Hugh Leatherman Behavioral Care Pavilion
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250729002945 | SC | Part A Provider - Hospital | 1557268950 | Practice locations: Florence, SC |
Hospital certification: CCN 42S091
- Legal name
- MEDICAL UNIVERSITY HOSPITAL AUTHORITY
- Doing business as
- MUSC HEALTH JEAN & HUGH K LEATHERMAN BEHAVIORAL CARE PAVILION
- Organization structure
- Government
- Enrollment address
- 121 E Cedar St
Florence, SC 29506-2576 - Hospital subgroups
- Psychiatric unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Unit of hospital
National Provider Directory
National Provider Directory- Part of
- Medical Univ Hosp Authority
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Douglas E Lischke | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Sonya Floyd | W-2 Managing Employee | Mar 1, 2019 | |
| Karyn Rae | Corporate Director | Mar 1, 2025 | |
| Patrick J Cawley | Corporate Officer | Mar 1, 2019 |
All facility ownership & control disclosures 11
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Tidelands Waccamaw Community Hospital | Hospital | Operational/Managerial Control | Oct 1, 2025 |
| Tidelands Georgetown Memorial Hospital | Hospital | Operational/Managerial Control | Oct 1, 2025 |
| Musc Health Lancaster Medical Center | Hospital | Operational/Managerial Control (100%) | Mar 1, 2019 |
| Musc Health Lancaster Rehabilitation Center | Hospital | Operational/Managerial Control (100%) | Mar 1, 2019 |
| Tidelands Georgetown Memorial Hospital | Hospital | Operational/Managerial Control | Oct 1, 2025 |
| Tidelands Health Family Medicine at Georgetown | Rural health clinic | Operational/Managerial Control | Oct 1, 2020 |
| Tidelands Health Family Medicine at Hemingway | Rural health clinic | Operational/Managerial Control | Oct 1, 2025 |
| Tidelands Health Family Medicine | Rural health clinic | Operational/Managerial Control | Oct 1, 2025 |
| Tidelands Health Family Medicine at Pawleys Island | Rural health clinic | Operational/Managerial Control | Oct 1, 2025 |
| Musc Health Primary Care - Thurgood Marshall Blvd | Rural health clinic | Operational/Managerial Control (100%) | Dec 1, 2022 |
| Musc Community Physicians | Rural health clinic | Operational/Managerial Control (100%) | Aug 1, 2021 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1124825211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23467",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873469",
"telephone_number": "843-792-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E CEDAR ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062576",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
"enumeration_date": "2025-02-26",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "RAE",
"authorized_official_first_name": "KARYN",
"authorized_official_title_or_position": "CHIEF, PAYOR RELATIONS AND REIMBURS",
"authorized_official_telephone_number": "843-876-1344"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MUSC Health Jean & Hugh Leatherman Behavioral Care Pavilion",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MUSC Health Jean & Hugh Leatherman Behavioral Care Pavilion",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florence, SC
- Med Way Ambulance Service, LLC
- Med-Enroll
- Medical AIDS
- Medical Comfort Systems Inc
- Medical Services of America Inc
- Medical University Hospital Authority
- Medical University Hospital Authority
- Medical University Hospital Authority
- Medical University Hospital Authority
- Medical University Hospital Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.