NPIMap

Organization Active NPI

Walterboro Community Hospital, Inc.

  • Psychiatric Hospital Unit
  • Walterboro, SC
National Provider Identifier
1376829952
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
WALTERBORO COMMUNITY HOSPITAL, INC.
Practice address
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone
(843) 782-2380
Fax
(843) 782-2379
NPI assigned
Oct 27, 2011
Organization subpart
Yes
Parent organization
WALTERSBORO COMMUNITY HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Cassie L. Ball
Title
Cfo
Phone
(843) 782-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

501 Robertson Blvd
Walterboro, SC 29488-2787

Mailing address

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2380

Other names 1

  • HCA Healthcare Colleton Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111209000757 SC Part A Provider - Hospital 5395638183 Practice locations: Walterboro, SC

Hospital certification: CCN 42S030

Legal name
WALTERBORO COMMUNITY HOSPITAL INC
Doing business as
HCA HEALTHCARE COLLETON HOSPITAL
Organization structure
CorporationProprietary
Enrollment address
501 Robertson Blvd
FL 4
Walterboro, SC 29488-2787
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Colleton Medical Center

Locations

501 Robertson Blvd
Fl 4
Walterboro, SC 29488
Phone (843) 782-2380

136 Medical Park Dr
Walterboro, SC 29488
Phone (843) 539-2273

Ownership & related parties

All disclosed owners & managing parties 37

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael McAlevey Individual Corporate Officer Feb 1, 2022
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
John M Franck Individual Corporate Director May 31, 2007
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual Contracted Managing EmployeeVice President of Reimbursement Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Sep 26, 2011 100%
Henry Todd Maxwell Individual Corporate Officer Jan 1, 2024
Frisco Holding II Organization, Nashville, TN Holding company 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Christopher F Wyatt Individual Corporate Director Apr 18, 2016
John I Starling Individual Corporate OfficerSenior Legal Counsel Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Officer Sep 27, 2020
Richard Hammett Individual Corporate Officer Jan 1, 2023
John M Hackett Individual Corporate Officer Apr 18, 2016
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2006 14.4%
Samuel N Hazen Individual Corporate Director Aug 24, 2011
Ronald Lee Grubbs Individual Corporate Officer Jan 1, 2010
Monica Cintado Individual Corporate OfficerVice President of Development Oct 7, 2019
Jon Foster Individual Corporate Officer Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
Seth a Killingbeck Individual Corporate Officer Aug 29, 2012
Ricardo Pavon Individual Corporate Officer Nov 4, 2020
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Cassie Ball Individual Corporate OfficerCfo Apr 9, 2018
W-2 Managing EmployeeCfo Apr 9, 2018
Michael T Bray Individual Corporate Officer Jan 1, 2010
Matthew R Favicchio Individual Corporate Officer Sep 5, 2025
Peter J Rossell Individual Corporate Officer Jan 1, 2023
Ashley T Lacaze Individual Corporate OfficerDivision Cfo Apr 15, 2019
Michael a Marks Individual Corporate Officer May 1, 2024
Edwin W Robinson Individual Corporate Officer Sep 5, 2025
Brad Ej Spicer Individual Corporate Officer Jan 1, 2023
Hugh Carter Tappan Individual Corporate Officer Jan 1, 2015
Hti Hospital Holdings Inc Organization, Nashville, TN For-profit 5% Or Greater Direct Ownership Interest May 31, 2007 100%
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Officer Jan 1, 2010

Facilities with the same owner 132

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1376829952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882787",
            "telephone_number": "843-782-2380",
            "fax_number": "843-782-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882787",
            "telephone_number": "843-782-2380",
            "fax_number": "843-782-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERBORO COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALTERSBORO COMMUNITY HOSPITAL, INC.",
        "enumeration_date": "2011-10-27",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-782-2602"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Healthcare Colleton Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.