NPIMap

Organization Active NPI

Self Regional Healthcare

Doing business as SRH - Outpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
National Provider Identifier
1407887003
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
038 Issued in SC
Legal business name
SELF REGIONAL HEALTHCARE
Doing business as
SRH - Outpatient Services
Practice address
1325 Spring St
Greenwood, SC 29646-3860
Phone
(864) 725-4111
Fax
(864) 725-5789
NPI assigned
Jul 5, 2006
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Dr. Matthew T Logan, MDNPI 1902868078
Title
President and Ceo
Phone
(864) 725-4253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 038 SC Primary

Addresses

Primary practice location

1325 Spring St
Greenwood, SC 29646-3860

Mailing address

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

Other identifiers 1

IdentifierTypeStateIssuer
305654MedicaidSC

Other names 1

  • SRH - OUTPATIENT SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000365 SC Part A Provider - Hospital 4082527742 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: MC Cormick, SC; Laurens, SC; Greenwood, SC; Clinton, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407887003. Details of each certification follow.

Hospital certification: CCN 420071

Legal name
SELF REGIONAL HEALTHCARE
Doing business as
SELF REGIONAL HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1969
Last certification
Sep 9, 2022
Beds
358
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Enrollment address
1325 Spring St
Greenwood, SC 29646-3860
Main/Primary Hospital Location
Hospital subgroups
General

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Self Regional HealthcareCCN 420071 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

105 Vinecrest Ct
#1200
Greenwood, SC 29646
Phone (864) 227-5240

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
Matthew T Logan Individual Corporate OfficerPresident and Ceo Dec 21, 2021
W-2 Managing EmployeePresident and Ceo Dec 21, 2021
Self Regional Healthcare Organization, Greenwood, SC Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Sep 30, 2025 100%
Clint J Stewart Individual Corporate OfficerVP & Cfo Oct 21, 2024
W-2 Managing Employee Oct 21, 2024

Owners & managing parties with NPI records 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 601

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

View all 601

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1407887003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4111",
            "fax_number": "864-725-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4111",
            "fax_number": "864-725-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF REGIONAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "864-725-4253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305654",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRH - OUTPATIENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SRH - OUTPATIENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.