Organization Active NPI

John H Stroger Hospital of Cook County

  • General Acute Care Hospital
  • Charleston, SC
National Provider Identifier
1366670580
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
125051665 Issued in IL
Legal business name
JOHN H STROGER HOSPITAL OF COOK COUNTY
Practice address
96 Jonathan Lucas St
Suite 812-CSB
Charleston, SC 29425-8900
Phone
(312) 375-3257
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Dr. Suja Mathew, M.D.
Title
Program Director
Phone
(312) 864-7218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 125051665 IL Primary

Addresses

Primary practice location

96 Jonathan Lucas St
Suite 812-CSB
Charleston, SC 29425-8900

Mailing address

3100 Ashley Town Center Dr
447
Charleston, SC 29414-5682
Phone (312) 375-3257

National Provider Directory

National Provider Directory

Locations

96 Jonathan Lucas St
Ste 812CSB
Charleston, SC 29425
Phone (312) 375-3257

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1366670580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ASHLEY TOWN CENTER DR",
            "address_2": "447",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145682",
            "telephone_number": "312-375-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST",
            "address_2": "SUITE 812-CSB",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "312-375-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H STROGER HOSPITAL OF COOK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SUJA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "312-864-7218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125051665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.