Active NPI
Dale Rutledge Hamrick, MD, LLC
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 18571
- Legal business name
- DALE RUTLEDGE HAMRICK, MD, LLC
- Practice address
- 124 Spring Valley CT
Columbia, SC 29223-5900 - Phone
- (803) 462-0376
- Fax
- (803) 462-0376
- NPI assigned
- Jul 23, 2006
- Last updated
- Nov 5, 2007
- 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
- Dr. Dale Rutledge Hamrick, MD
- Title
- Owner
- Phone
- (803) 462-0376
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 18571 | SC | Primary |
Addresses
Primary practice location
124 Spring Valley CT
Columbia, SC 29223-5900
Mailing address
PO Box 23656
Columbia, SC 29224-3656
Phone (803) 462-0376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185711 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1650 Park Cir
Columbia, SC 29201
Phone (803) 779-1971
7210 Broad River Rd
Ste L
Irmo, SC 29063
Phone (803) 743-1576
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.
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1952370504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1578585428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23656",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292243656",
"telephone_number": "803-462-0376",
"fax_number": "803-462-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SPRING VALLEY CT",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292235900",
"telephone_number": "803-462-0376",
"fax_number": "803-462-0376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALE RUTLEDGE HAMRICK, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "HAMRICK",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "RUTLEDGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-462-0376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "SC",
"license": "18571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185711",
"state": "SC"
}
],
"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 Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.