Organization Active NPI

Tidelands Health

  • General Acute Care Hospital
  • Myrtle Beach, SC
National Provider Identifier
1184091795
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
5816 Issued in SC
Legal business name
TIDELANDS HEALTH
Practice address
3515 Caduceus Dr Ste a
Myrtle Beach, SC 29588-2922
Phone
(843) 652-8350
NPI assigned
Aug 31, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Megan Vehslage, M.A.NPI 1124492566
Title
Speech Therapist
Phone
(419) 787-3287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 5816 SC Primary

Addresses

Primary practice location

3515 Caduceus Dr Ste a
Myrtle Beach, SC 29588-2922

Mailing address

3515 Caduceus Dr Ste a
Myrtle Beach, SC 29588-2922

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2172495Tidelands Health OBGYN at Azalea Lakes3515 Caduceus Drive, Myrtle Beach, SC 29588Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

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": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1184091795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 CADUCEUS DR STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 CADUCEUS DR STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882922",
            "telephone_number": "843-652-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDELANDS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "VEHSLAGE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "419-787-3287",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "5816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.