NPIMap

Organization Active NPI

Kershaw Hospital LLC

  • Rural Health Clinic/Center
  • Bethune, SC
National Provider Identifier
1679564702
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
HTL-101 Issued in SC
Legal business name
KERSHAW HOSPITAL LLC
Practice address
103 South Main Street
Bethune, SC 29009
Phone
(843) 334-6557
Fax
(843) 334-6583
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Mr. Davis W Turner
Title
Vice President
Phone
(615) 844-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X HTL-101 SC Primary

Addresses

Primary practice location

103 South Main Street
Bethune, SC 29009

Mailing address

1315 Roberts St
Camden, SC 29020-3737
Phone (803) 432-4311

Other identifiers 1

IdentifierTypeStateIssuer
RHC535MedicaidSC

Other names 1

  • KERSHAWHEALTH HEALTHCARE PLACE AT BETHUNE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1679564702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311",
            "fax_number": "803-713-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOUTH MAIN STREET",
            "city": "BETHUNE",
            "state": "SC",
            "postal_code": "29009",
            "telephone_number": "843-334-6557",
            "fax_number": "843-334-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-844-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "HTL-101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC535",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERSHAWHEALTH HEALTHCARE PLACE AT BETHUNE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethune, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.