Active NPI
Dorn Veterans Hospital
- Skilled Nursing Facility
- Columbia, SC
National Provider Identifier
1457483398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 106197
- Legal business name
- DORN VETERANS HOSPITAL
- Practice address
- 3509 Lake Ave Apt 2132
Columbia, SC 29206-5111 - Phone
- (803) 776-4000
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth Mustard
- Title
- Chief Nurse
- Phone
- (803) 776-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 106197 | SC | Primary |
Addresses
Primary practice location
3509 Lake Ave Apt 2132
Columbia, SC 29206-5111
Mailing address
3509 Lake Ave. Apt. 2132
Columbia, SC 29206
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1457483398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 LAKE AVE. APT. 2132",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 LAKE AVE APT 2132",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292065111",
"telephone_number": "803-776-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORN VETERANS HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "MUSTARD",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "CHIEF NURSE",
"authorized_official_telephone_number": "803-776-4000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SC",
"license": "106197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.