Organization Active NPI

Union Hospital District

Doing business as CHA- Union Internal Medicine

  • Internal Medicine Physician
  • Union, SC
National Provider Identifier
1336388735
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNION HOSPITAL DISTRICT
Doing business as
CHA- Union Internal Medicine
Practice address
408 N Duncan by Pass
Suite L
Union, SC 29379
Phone
(864) 427-2401
Fax
(864) 427-7119
NPI assigned
Feb 10, 2009
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Pamela Vaughan
Title
Practice Manager
Phone
(864) 427-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

408 N Duncan by Pass
Suite L
Union, SC 29379

Mailing address

408 N Duncan by Pass
Suite L
Union, SC 29379
Phone (864) 427-2401

Other identifiers 1

IdentifierTypeStateIssuer
GP5094MedicaidSC

Other names 1

  • CHA- Union Internal Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1336388735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N DUNCAN BY PASS",
            "address_2": "SUITE L",
            "city": "UNION",
            "state": "SC",
            "postal_code": "29379",
            "telephone_number": "864-427-2401",
            "fax_number": "864-427-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N DUNCAN BY PASS",
            "address_2": "SUITE L",
            "city": "UNION",
            "state": "SC",
            "postal_code": "29379",
            "telephone_number": "864-427-2401",
            "fax_number": "864-427-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-427-2401"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5094",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHA- Union Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.