Kershaw Hospital LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

HTL-0101 Issued in SC

Legal business name

KERSHAW HOSPITAL LLC

Practice address

1315 Roberts St
Camden, SC 29020-3737

Phone

(803) 432-4311

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Kathy J. Teague

Title

Assistant Vice President, Secretary

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1245220300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7003",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290217003",
            "telephone_number": "803-432-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL-0101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369382",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420048",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328735",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400480",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kershawdonotreply@kershaw.direct.schiex.state.sc.us",
            "affiliation": "N",
            "address_1": "1315 Roberts St",
            "city": "Camden",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290203737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kershaw County Commission on Alcohol and Drug Abuse (ALPHA Behavioral Health Center)
• Kershaw County School District
• Kershaw County School District
• Kershaw County Teen Health Promotion Coalition
• Kershaw Health (Kershawhealth Pathology)
• Kershaw Hospital LLC
• Kershaw Hospital LLC
• Kershaw Hospital LLC
• Kershaw Urology LLC
• Kershaw Urology, LLC

• General Acute Care Hospital in Camden, SC
• Providers in Camden, SC by specialty
• General Acute Care Hospital in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.