NPIMap

Organization Active NPI

Union Hospital District

  • Rural Health Clinic/Center
  • Union, SC
National Provider Identifier
1407022189
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNION HOSPITAL DISTRICT
Practice address
407 W. South St. Ste. C
Union, SC 29379-2771
Phone
(864) 429-8846
NPI assigned
May 2, 2008
Organization subpart
Yes
Parent organization
UNION HOSPTIAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Tami C Pettit
Title
Cha Director Physician Services
Phone
(864) 427-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

407 W. South St. Ste. C
Union, SC 29379-2771

Mailing address

407 W. South St. Ste. C
Union, SC 29379-2771
Phone (864) 429-8846

Other names 1

  • CHA Upstate Pediatrics Doing business as

National Provider Directory

National Provider Directory
Part of
Union Hospital District

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1407022189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W. SOUTH ST. STE. C",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792771",
            "telephone_number": "864-429-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W. SOUTH ST. STE. C",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792771",
            "telephone_number": "864-429-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION HOSPTIAL DISTRICT",
        "enumeration_date": "2008-05-02",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHA DIRECTOR PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "864-427-0331"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHA Upstate Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.