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Cannon Memorial Hospital

Organization Active NPI Family Medicine Physician · Pickens, SC

NPI 1497910772 · NPPES record last updated Feb 12, 2009

Key facts

NPI
1497910772
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CANNON MEMORIAL HOSPITAL
Practice address
865 Pendleton St
Pickens, SC 29671-2578
Phone
(864) 878-4639
NPI assigned
Jul 25, 2008
Organization subpart
Yes
Parent organization (as reported)
CANNON MEMORIAL HOSPITAL

Authorized official

Name
Mr. Norman G Rentz
Title
Ceo
Phone
(864) 878-4791

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cannon Memorial Hospital (13 organizations share this tax ID)
Part of
Cannon Memorial Hospital

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

865 Pendleton St
Pickens, SC 29671-2578

Mailing address

PO Box 919
Pickens, SC 29671-0919
Phone (864) 897-8286

Other names

  • Cannon Family Practice - Pendleton Street Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2009.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1497910772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296710919",
            "telephone_number": "864-897-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 PENDLETON ST",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712578",
            "telephone_number": "864-878-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANNON MEMORIAL HOSPITAL",
        "enumeration_date": "2008-07-25",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "RENTZ",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-878-4791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Family Practice - Pendleton Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickens, SC

All providers in Pickens, SC · Family Medicine Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.