Active NPI
Union Hospital District
Doing business as CHA- Union Internal Medicine
- Internal Medicine Physician
- Union, SC
National Provider Identifier
1336388735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5094 | Medicaid | SC |
Other names 1
- CHA- Union Internal Medicine
National Provider Directory
National Provider DirectoryNPI 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
- Union Family Pharmacy LLC
- Union Hospital District (Carolinas Health Associates Union Surgical Services)
- Union Hospital District (CHA Center for OB/GYN)
- Union Hospital District (Carolinas Health Associates South Main)
- Union Hospital District (CHA Family Practice Associates)
- Union Hospital District (CHA Family Practice Associates)
- Union Hospital District (CHA Union Orthopedics)
- Union Hospital District (CHA Upstate Pediatrics)
- Union Hospital District (CHA Union OB/Gyn)
- Union Hospital District (CHA Upstate Pediatrics)
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.