NPIMap

Organization Active NPI

Spartanburg Regional Healthcare District

  • Durable Medical Equipment & Medical Supplies
  • Spartanburg, SC
National Provider Identifier
1356476584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPARTANBURG REGIONAL HEALTHCARE DISTRICT
Practice address
120 Heywood Ave
Suite 400
Spartanburg, SC 29302-1210
Phone
(864) 560-3900
Fax
(864) 560-3998
NPI assigned
Feb 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Wade S Wimmer
Title
Operations Manager
Phone
(864) 560-3900

Corporate family (same tax ID) 24

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

National Provider Directory

National Provider Directory
Tax ID family
SRMC Subacute Care Phys (136 organizations share this tax ID)

Locations

120 Heywood Ave
Ste 400
Spartanburg, SC 29302
Phone (864) 560-3900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

120 Heywood Ave
Suite 400
Spartanburg, SC 29302-1210

Mailing address

120 Heywood Ave
Suite 400
Spartanburg, SC 29302-1210
Phone (864) 560-3900

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
DME837MedicaidSC

Other names 1

NPPES NPI Registry
  • Spartanburg Regional Lifeline Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356476584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HEYWOOD AVE",
            "address_2": "SUITE 400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021210",
            "telephone_number": "864-560-3900",
            "fax_number": "864-560-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEYWOOD AVE",
            "address_2": "SUITE 400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021210",
            "telephone_number": "864-560-3900",
            "fax_number": "864-560-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG REGIONAL HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIMMER",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "864-560-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME837",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartanburg Regional Lifeline",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.