Organization Active NPI

Catawba Services Unit-Indian Health

  • Clinic/Center
  • Rock Hill, SC
National Provider Identifier
1467485540
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CATAWBA SERVICES UNIT-INDIAN HEALTH
Practice address
2893 Sturgis Rd
Rock Hill, SC 29730-6607
Phone
(803) 366-9090
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Tonya G Cornwell
Title
Ceo Acting
Phone
(803) 366-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2893 Sturgis Rd
Rock Hill, SC 29730-6607

Mailing address

2893 Sturgis Rd
Rock Hill, SC 29730-6607
Phone (803) 366-9090

Other identifiers 1

IdentifierTypeStateIssuer
GP4025MedicaidSC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0967201Catawba Indian Health Service Unit2893 Sturgis Road, Rock Hill, SC 29730Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1467485540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 STURGIS RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297306607",
            "telephone_number": "803-366-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 STURGIS RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297306607",
            "telephone_number": "803-366-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA SERVICES UNIT-INDIAN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO ACTING",
        "authorized_official_telephone_number": "803-366-9090"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4025",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.