NPIMap

Organization Active NPI

Medical University of South Carolina

  • General Acute Care Hospital
  • Charleston, SC
National Provider Identifier
1194924589
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
29688 Issued in SC
Legal business name
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Practice address
67 President St
Suite 210 Iop South
Charleston, SC 29425-5712
Phone
(843) 792-6174
NPI assigned
Jul 16, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Preston Church, M.D.
Title
Id Program Director
Phone
(843) 792-6174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 29688 SC Primary

Addresses

Primary practice location

67 President St
Suite 210 Iop South
Charleston, SC 29425-5712

Mailing address

67 President St
Suite 210 Iop South
Charleston, SC 29425-5712
Phone (843) 792-6174

Other identifiers 1

IdentifierTypeStateIssuer
29688OtherSCSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Professional Staff Offi13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

67 President St
Ste 210
Charleston, SC 29425
Phone (843) 792-6174

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1194924589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 PRESIDENT ST",
            "address_2": "SUITE 210 IOP SOUTH",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294255712",
            "telephone_number": "843-792-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PRESIDENT ST",
            "address_2": "SUITE 210 IOP SOUTH",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294255712",
            "telephone_number": "843-792-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "ID PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "843-792-6174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "29688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "29688",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.