NPIMap

Organization Active NPI

Union Medical Center

Doing business as UMC Center for Pediatrics

  • Rural Health Clinic/Center
  • Union, SC
National Provider Identifier
1144722919
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNION MEDICAL CENTER
Doing business as
UMC Center for Pediatrics
Practice address
1201 Furman L Fendley Hwy Ste B
Union, SC 29379-7419
Phone
(864) 429-8846
Fax
(864) 429-9093
NPI assigned
Mar 7, 2018
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Bruce A Davis
Title
Evp, Cfo
Phone
(864) 560-4376

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Pediatrics Physician 208000000X SC

Addresses

Primary practice location

1201 Furman L Fendley Hwy Ste B
Union, SC 29379-7419

Mailing address

PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304

Other identifiers 2

IdentifierTypeStateIssuer
42-3464OtherSCMEDICARE PIN
RHC559MedicaidSC

Other names 1

  • UMC Center for Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180525001799 SC Part A Provider - Rural Health Clinic 2264749308 Practice locations: Union, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144722919. Details of each certification follow.

Rural health clinic certification: CCN 423464

Legal name
UNION MEDICAL CENTER
Doing business as
UMC CENTER FOR PEDIATRICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 21, 2018
Last certification
Aug 21, 2018
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
1201 Furman L Fendley Hwy
Ste B
Union, SC 29379-7419
Related CCNs
420108

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Union Medical Center8 organizations share this tax ID, including this one
Part of
Spartanburg Regional Health Services District Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Apella Health Management Inc Organization, Spartanburg, SC Non-profit Operational/Managerial Control Jan 1, 2019
Elmer B Holstien Individual Corporate OfficerCeo Aug 1, 2011
W-2 Managing EmployeeCeo Aug 1, 2011
Operational/Managerial ControlCeo Aug 1, 2011
Spartanburg Regional Health Services District Inc Organization, Spartanburg, SC Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2018 100%
Operational/Managerial Control Feb 1, 2009 100%
Charles E Morrow Individual Corporate OfficerCoo- Medical Group & Post Acute Dec 4, 2023
W-2 Managing EmployeeCoo- Medical Group & Post Acute Dec 4, 2023
Bruce a Davis Individual Corporate OfficerCfo Spartanburg Reg Health SVS D Jan 25, 2020
W-2 Managing EmployeeCfo Spartanburg Reg Health SVS D Jan 25, 2020
Operational/Managerial ControlCfo Spartanburg Reg Health SVS D Jan 25, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1144722919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FURMAN L FENDLEY HWY STE B",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797419",
            "telephone_number": "864-429-8846",
            "fax_number": "864-429-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2018-03-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EVP, CFO",
        "authorized_official_telephone_number": "864-560-4376"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "42-3464",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC559",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMC Center for Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.