Organization Active NPI

Dorn Veterans Hospital

  • Skilled Nursing Facility
  • Columbia, SC
National Provider Identifier
1457483398
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
106197 Issued in SC
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.