Organization Active NPI

Dale Rutledge Hamrick, MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, SC
National Provider Identifier
1578585428
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
18571 Issued in SC
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Dale Rutledge Hamrick, MDNPI 1952370504
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
185711MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.