Newberry County Memorial Hospital
Organization Active NPI General Acute Care Hospital · Newberry, SC
NPI 1710073739 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1710073739
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- HTL-015 (SC)
- Legal business name
- NEWBERRY COUNTY MEMORIAL HOSPITAL
- Practice address
- 2669 Kinard St
Newberry, SC 29108-2911 - Phone
- (803) 276-7570
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael L Reynolds
- Title
- Chief Financial Officer
- Phone
- (803) 405-7469
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 12
Practitioners 24
-
Mark A Davis, MD
-
Casey Hendrix Purcell, NP-C
-
Stephen Paul Bayuk, D.O.
-
James Clifton Caldwell, M.D.
-
Harriette L. Davis, FNP
-
Gary D Hals, MD
-
Laura Elizabeth Odom, APRN, FNP-C
-
Megan Nadine Zaepfel, APRN
-
Tamara S Baker, APRN, FNP-C
-
Gregory E Barefoot, P.A.C.
-
Sherard T. Houston, M.D.
-
Kendell Cantrell Mature, PA-C
-
Sean O'Meara, MD
-
Michael Todd O'Neil, D.O.
-
Stephen W Orville, M.D.
-
Ravikumar K Patel, D.O.
-
Nicholas Kent Petrus, PA-C
-
Brian W. Weaver, MD
-
Laurel Susan Stacey, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040106000163 | SC | Part B Supplier - Clinic/Group Practice | 8123927464 |
Receives reassigned benefits from 12 practitioners Practice locations: Newberry, SC |
National Provider Directory
- Tax ID family
- David L Oliver MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | HTL-015 | SC | Yes |
Addresses
Primary practice location
2669 Kinard St
Newberry, SC 29108-2911
Mailing address
2669 Kinard St
Newberry, SC 29108-2911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400532 | Medicaid | SC |
Other providers in Newberry, SC
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital
All providers in Newberry, SC · General Acute Care Hospital in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.