Organization Active NPI

Abbeville County Memorial Hospital

Doing business as Abbeville Respiratory Home Care

  • Oxygen Equipment & Supplies (DME)
  • Abbeville, SC
National Provider Identifier
1376641282
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
C08402101 Issued in SC
Legal business name
ABBEVILLE COUNTY MEMORIAL HOSPITAL
Doing business as
Abbeville Respiratory Home Care
Practice address
818 W Greenwood St
Abbeville, SC 29620-2515
Phone
(864) 366-5011
Fax
(864) 366-3317
NPI assigned
Sep 21, 2006
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Mr. Timothy S Wren
Title
Cfo
Phone
(864) 366-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X C08402101 SC Primary

Addresses

Primary practice location

818 W Greenwood St
Abbeville, SC 29620-2515

Mailing address

PO Box 887
Abbeville, SC 29620-0887
Phone (864) 366-5011

Other identifiers 1

IdentifierTypeStateIssuer
DME971MedicaidSC

Other names 1

  • Abbeville Respiratory Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

818 W Greenwood St
Abbeville, SC 29620
Phone (864) 366-3249

105 Vinecrest Ct
Ste 1100
Greenwood, SC 29646
Phone (864) 943-4855

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1376641282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296200887",
            "telephone_number": "864-366-5011",
            "fax_number": "864-366-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W GREENWOOD ST",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296202515",
            "telephone_number": "864-366-5011",
            "fax_number": "864-366-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-366-5011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "C08402101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME971",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbeville Respiratory Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abbeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.