Active NPI
Fairfield Memorial Hospital
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Winnsboro, SC
National Provider Identifier
1154463115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- License
- 50001704
- Legal business name
- FAIRFIELD MEMORIAL HOSPITAL
- Practice address
- 102 US Hwy 321 by Pass N
Winnsboro, SC 29180 - Phone
- (803) 712-0373
- Fax
- (803) 635-1760
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. J L Dozier
- Title
- Ceo
- Phone
- (803) 712-0373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 50001704 | SC | Primary |
Addresses
Primary practice location
102 US Hwy 321 by Pass N
Winnsboro, SC 29180
Mailing address
102 US Hwy 321 by Pass N
Winnsboro, SC 29180
Phone (803) 712-0373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4212419 | Other | SC | NABP |
National Provider Directory
National Provider Directory- Tax ID family
- Fairfield County EMS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Winnsboro, SC
- NPI 1801100409
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/64706c27-8401-4242-8ca4-f0b7c493efc2/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154463115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 US HWY 321 BY PASS N",
"city": "WINNSBORO",
"state": "SC",
"postal_code": "29180",
"telephone_number": "803-712-0373",
"fax_number": "803-635-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 US HWY 321 BY PASS N",
"city": "WINNSBORO",
"state": "SC",
"postal_code": "29180",
"telephone_number": "803-712-0373",
"fax_number": "803-635-1760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRFIELD MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOZIER",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "803-712-0373",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": "SC",
"license": "50001704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4212419",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winnsboro, SC
- Fairfield County Disabilities and Special Needs Board
- Fairfield County Emergency Services
- Fairfield County Schools
- Fairfield Family Dentistry, LLC
- Fairfield Medical Associates, LLC
- Fairfield Memorial Hospital
- Fairfield Memorial Hospital
- Fairfield Memorial Hospital
- Family Serving Families
- Tina Fields
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.