NPIMap

Organization Active NPI

Cherokee Medical Center

Doing business as CMC Wound Services

  • General Acute Care Hospital
  • Gaffney, SC
National Provider Identifier
1205307378
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CHEROKEE MEDICAL CENTER
Doing business as
CMC Wound Services
Cherokee Medical Center
Practice address
1530 N Limestone St
Gaffney, SC 29340-4742
Phone
(864) 487-4271
Fax
(864) 487-1500
NPI assigned
Dec 16, 2018
Last updated
Dec 31, 2019By 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 Dec 31, 2019

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

Authorized official

Name
Kenneth Meinke
Title
Chief Financial Officer
Phone
(864) 560-6000

Specialties & licenses 1

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

Addresses

Primary practice location

1530 N Limestone St
Gaffney, SC 29340-4742

Mailing address

PO Box 277723
Atlanta, GA 30384-7723
Phone (864) 560-6000

Other practice location 1

1530 N Limestone St
Gaffney, SC 29340-4742
Phone (864) 206-6305

Other identifiers 3

IdentifierTypeStateIssuer
42-0043OtherSCMEDICARE PIN
AL0947MedicaidSC
BL0947MedicaidSC

Other names 2

  • CMC Wound Services Doing business as
  • Cherokee Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190108001532 SC Part A Provider - Hospital 5991041212 Practice locations: Gaffney, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205307378. Details of each certification follow.

Hospital certification: CCN 420043

Legal name
CHEROKEE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 1, 2019
Beds
125
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jan 1, 2019 (7 total)
Organization structure
OtherNon-profit
Enrollment address
1530 N Limestone St
Gaffney, SC 29340-4742
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Cherokee Medical CenterCCN 420043 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
42D0682618Cherokee Medical Center1530 N Limestone St, Gaffney, SC 29340AccreditationFeb 8, 2027
42D2342921Cherokee Medical Center- Point Care Laboratory1530 N Limestone Street, Gaffney, SC 29340Certificate of waiverApr 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Cherokee Medical Center11 organizations share this tax ID, including this one
Part of
Spartanburg Regional Health Services District Inc

Other organizations with this tax ID 10

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 6

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

NameRoleSinceShare
Cody N Butts Individual Contracted Managing EmployeePresident of Cherokee Medical Ce Jan 1, 2019
Apella Health Management Inc Organization, Spartanburg, SC Non-profit Operational/Managerial Control Jan 1, 2019
Elmer B Holstien Individual Corporate OfficerCheif Executive Officer of Spart Aug 1, 2011
Operational/Managerial ControlCheif Executive Officer of Spart Aug 1, 2011
Spartanburg Regional Health Services District Inc Organization, Spartanburg, SC 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Charles E Morrow Individual W-2 Managing EmployeeChief Medical Officer - Medical Aff Dec 4, 2023
Operational/Managerial ControlChief Medical Officer - Medical Aff Dec 4, 2023
Bruce a Davis Individual Corporate OfficerCfo-Spartanburg Regional Health Jan 25, 2020
W-2 Managing EmployeeCfo-Spartanburg Regional Health Jan 25, 2020
Operational/Managerial ControlCfo-Spartanburg Regional Health 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 13

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.

View all 13

Affiliated clinicians 443

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 443

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1205307378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847723",
            "telephone_number": "864-560-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404742",
            "telephone_number": "864-487-4271",
            "fax_number": "864-487-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 N Limestone St",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293404742",
            "country_code": "US",
            "telephone_number": "864-206-6305",
            "fax_number": "864-206-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHEROKEE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "MEINKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "864-560-6000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "42-0043",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL0947",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BL0947",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Wound Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherokee Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.