NPIMap

Organization Active NPI

Hampton Regional Medical Center - Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Varnville, SC
National Provider Identifier
1376840504
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
HTL-027 Issued in SC
Legal business name
HAMPTON REGIONAL MEDICAL CENTER - SWINGBED
Practice address
595 W. Carolina Ave
Varnville, SC 29944
Phone
(803) 943-2771
Fax
(803) 943-1208
NPI assigned
Feb 24, 2011
Organization subpart
Yes
Parent organization
HAMPTON REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Dave H Hamill
Title
Ceo
Phone
(803) 943-1251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X HTL-027 SC Primary

Addresses

Primary practice location

595 W. Carolina Ave
Varnville, SC 29944

Mailing address

PO Box 338
Varnville, SC 29944
Phone (803) 943-2771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110517000118 SC Part A Provider - Hospital 0941107296 Practice locations: Varnville, SC

Hospital certification: CCN 42U072

Legal name
HAMPTON REGIONAL MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
595 West Carolina Ave
Varnville, SC 29944-4735
Other Hospital Practice Location
Hospital subgroups
Swing-bed approved

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
Tax ID family
Hampton Regional Medica3 organizations share this tax ID, including this one
Part of
Hampton Regional Medica

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Hampton Regional Medical Center Organization, Varnville, SC Operational/Managerial Control Apr 7, 2011
Dave Hamill Individual Corporate Director Apr 2, 2011
Tammie Morgan Individual W-2 Managing Employee Jun 11, 2011

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hampton Regional Medical CenterVarnville, SC, CCN 420072 Hospital Operational/Managerial Control Jan 1, 1990

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1376840504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "29944",
            "telephone_number": "803-943-2771",
            "fax_number": "803-943-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W. CAROLINA AVE",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "29944",
            "telephone_number": "803-943-2771",
            "fax_number": "803-943-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON REGIONAL MEDICAL CENTER - SWINGBED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMPTON REGIONAL MEDICAL CENTER",
        "enumeration_date": "2011-02-24",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "HAMILL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-943-1251"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "SC",
            "license": "HTL-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Varnville, SC

Sources for this page

Verify at the official NPI Registry.