NPIMap

Organization Active NPI

Union Medical Center

  • General Acute Care Hospital
  • Union, SC
National Provider Identifier
1396129201
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UNION MEDICAL CENTER
Practice address
1201 Furman L Fendley Hwy
Union, SC 29379-7419
Phone
(864) 301-2000
Fax
(864) 301-2653
NPI assigned
Jul 10, 2015
Organization subpart
Yes
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Mr. Bruce A Davis
Title
Evp, Cfo
Phone
(864) 560-4376

Specialties & licenses 1

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

Addresses

Primary practice location

1201 Furman L Fendley Hwy
Union, SC 29379-7419

Mailing address

PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304

Other identifiers 2

IdentifierTypeStateIssuer
BL0017MedicaidSC
AL0017MedicaidSC

Other names 1

  • UNION MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150922001282 SC Part A Provider - Hospital 2264749308 Practice locations: Union, SC

Hospital certification: CCN 420108

Legal name
UNION MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 24, 2015
Last certification
Nov 24, 2015
Beds
143
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
1201 Furman L Fendley Hwy
Union, SC 29379-7419
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Union Medical CenterCCN 420108
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Union Medical Center8 organizations share this tax ID, including this one
Part of
Spartanburg Regional Health Services District Inc

Other organizations with this tax ID 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1201 Furman L Fendley Hwy
#A
Union, SC 29379

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Elmer B Holstien Individual Corporate OfficerCeo Aug 1, 2011
W-2 Managing EmployeeCeo Aug 1, 2011
Operational/Managerial ControlCeo Aug 1, 2011
Spartanburg Regional Health Services District Inc Organization, Spartanburg, SC Non-profit 5% Or Greater Direct Ownership Interest Aug 2, 2015 100%
Operational/Managerial Control Aug 2, 2015 100%
Charles E Morrow Individual W-2 Managing EmployeeChief Medical Officer - Medical Aff Dec 4, 2023
Operational/Managerial ControlChief Medical Officer - Medical Aff Dec 4, 2023
Bruce a Davis Individual Corporate OfficerCfo Jan 25, 2020
W-2 Managing EmployeeCfo Jan 25, 2020
Operational/Managerial Control Jan 25, 2020

Owners & managing parties with NPI records 2

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

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

Affiliated clinicians 318

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 318

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1396129201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FURMAN L FENDLEY HWY",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797419",
            "telephone_number": "864-301-2000",
            "fax_number": "864-301-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2015-07-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EVP, CFO",
        "authorized_official_telephone_number": "864-560-4376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BL0017",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL0017",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNION MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.