NPIMap

Organization Active NPI

Medical University Hospital Authority

  • Children's Rehabilitation Hospital
  • Charleston, SC
National Provider Identifier
1659101277
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Rehabilitation HospitalTaxonomy code 283XC2000X
Legal business name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Practice address
10 McClennan Banks
Charleston, SC 29425-1164
Phone
(843) 792-1414
NPI assigned
Aug 7, 2024
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Karyn Rae
Title
Chief, Payor Relations
Phone
(843) 876-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Rehabilitation Hospital 283XC2000X NU Primary

Addresses

Primary practice location

10 McClennan Banks
Charleston, SC 29425-1164

Mailing address

PO Box 23319
New York, NY 10087-3319
Phone (843) 792-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230602000997 SC Part A Provider - Hospital 1557268950 2 other NPIs on this enrollment
Practice locations: Charleston, SC; Orangeburg, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659101277. Details of each certification follow.

Hospital certification: CCN 42T004

Legal name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Organization structure
OtherNon-profit
Incorporated
May 1, 2007 in SC
Enrollment address
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Musc Medical CenterCCN 42T004 · All quality measures
Ownership
Government
Certified
Mar 1, 2023

National Provider Directory

National Provider Directory
Tax ID family
Musc Hospital71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 39)

10 McClennan Banks Dr
Charleston, SC 29401
Phone (843) 330-9824

1101 Waterline St
Charleston, SC 29492
Phone (843) 985-4700

135 Rutledge Ave
Charleston, SC 29425
Phone (803) 569-1757

135 Rutledge Ave
Rm 106
Charleston, SC 29425
Phone (843) 876-0199

169 Ashley Ave
#149
Charleston, SC 29425
Phone (843) 792-5220

2060 Sam Rittenberg Blvd
Ste A116
Charleston, SC 29407
Phone (843) 876-7074

230 Albemarle Rd
Rm WH126
Charleston, SC 29407
Phone (843) 876-7074

25 Courtenay Dr
Rm M
Charleston, SC 29425
Phone (843) 876-5585

25 Courtenay Dr
Rm M104
Charleston, SC 29425
Phone (843) 876-0199

29 Leinbach Dr
Bldg B
Charleston, SC 29407
Phone (843) 792-9110

650 Ellis Oak Dr
Charleston, SC 29412
Phone (843) 762-5480

86 Jonathan Lucas St
Rm 114
Charleston, SC 29425
Phone (843) 792-6440

86 Jonathan Lucas St
Rm 219
Charleston, SC 29425
Phone (843) 792-6412

1524 Barnwell Hwy
Denmark, SC 29042
Phone (803) 395-3352

1590 Freedom Blvd
Florence, SC 29505
Phone (843) 665-9581

1590 Freedom Blvd
Ste 100
Florence, SC 29505
Phone (843) 674-4787

805 Pamplico Hwy
Ste B125
Florence, SC 29505
Phone (843) 629-2605

805 Pamplico Hwy
Ste B310
Florence, SC 29505
Phone (843) 662-1516

1245 Rosemont Dr
Ste 101
Indian Land, SC 29707
Phone (803) 313-3151

402 Nelson Blvd
Ste 500
Kingstree, SC 29556

148 Sauls St
Ste 3
Lake City, SC 29560
Phone (843) 374-3621

334 Mercy St
Lake City, SC 29560
Phone (843) 374-8380

1180 Hospital Dr
Mount Pleasant, SC 29464
Phone (843) 876-8282

1600 Midtown Ave
Ste 2B5
Mount Pleasant, SC 29464
Phone (843) 876-8282

1280 Hospital Dr
Unit 301
Mt Pleasant, SC 29464
Phone (843) 876-2211

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa M Goodlett Individual Corporate OfficerCfo Mar 1, 2023
Sonya Floyd Individual W-2 Managing EmployeeManager Mar 1, 2023 100%
Karyn Rae Individual Corporate DirectorChief Payor Relations and Reimbu Mar 1, 2023
Patrick J Cawley Individual Corporate OfficerCeo Mar 1, 2023

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tidelands Waccamaw Community HospitalMurrells Inlet, SC, CCN 420098 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 420020 Hospital Operational/Managerial Control Oct 1, 2025
Musc Health Lancaster Medical CenterLancaster, SC, CCN 429803 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Musc Health Lancaster Rehabilitation CenterLancaster, SC, CCN 42T036 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 42U020 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at GeorgetownGeorgetown, SC, CCN 428958 Rural health clinic Operational/Managerial Control Oct 1, 2020
Tidelands Health Family Medicine at HemingwayHemingway, SC, CCN 423859 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family MedicineAndrews, SC, CCN 423970 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at Pawleys IslandPawleys Island, SC, CCN 423870 Rural health clinic Operational/Managerial Control Oct 1, 2025
Musc Health Primary Care - Thurgood Marshall BlvdKingstree, SC, CCN 423448 Rural health clinic Operational/Managerial Control (100%) Dec 1, 2022
Musc Community PhysiciansBranchville, SC, CCN 423856 Rural health clinic Operational/Managerial Control (100%) Aug 1, 2021

Practitioners & affiliated clinicians

Practitioners 418

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.

View all 418

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1659101277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23319",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873319",
            "telephone_number": "843-792-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCCLENNAN BANKS",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294251164",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "CHIEF, PAYOR RELATIONS",
        "authorized_official_telephone_number": "843-876-1344"
    },
    "taxonomies": [
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.