NPIMap

Organization Active NPI

Newberry County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Newberry, SC
National Provider Identifier
1730468992
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
HTL-015 Issued in SC
Legal business name
NEWBERRY COUNTY MEMORIAL HOSPITAL
Practice address
2669 Kinard St
Newberry, SC 29108-2911
Phone
(803) 405-7537
Fax
(803) 405-7196
NPI assigned
Aug 5, 2011
Last updated
Aug 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Ms. Rhonda Williams
Title
PFS Manager
Phone
(803) 405-7537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X HTL-015 SC Primary

Addresses

Primary practice location

2669 Kinard St
Newberry, SC 29108-2911

Mailing address

2669 Kinard St
Newberry, SC 29108-2911
Phone (803) 405-7537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100910000099 SC Part A Provider - Hospital 8123927464 1 other NPI on this enrollment
Practice locations: Newberry, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730468992. Details of each certification follow.

Hospital certification: CCN 42U053

Legal name
NEWBERRY COUNTY MEMORIAL HOSPITAL
Organization structure
GovernmentNon-profit
Incorporated
in SC
Enrollment address
2669 Kinard Street
Newberry, SC 29108-0497
Hospital Swing-Bed Unit
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Newberry Cty Memorial Hosp13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

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
John Snow Individual W-2 Managing EmployeeCeo Apr 24, 2023
Gena a Driggers Individual W-2 Managing EmployeeDirector May 1, 2017
John Pugh Individual Other Jul 21, 2015
John Doyle Individual W-2 Managing EmployeeCfo Sep 19, 2023

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1730468992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082911",
            "telephone_number": "803-405-7537",
            "fax_number": "803-405-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082911",
            "telephone_number": "803-405-7537",
            "fax_number": "803-405-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PFS MANAGER",
        "authorized_official_telephone_number": "803-405-7537",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "SC",
            "license": "HTL-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.