NPIMap

Organization Active NPI

Newberry County Memorial Hospital

Doing business as WhitmireMedical Center of Newberry Hospital

  • Family Medicine Physician
  • Whitmire, SC
National Provider Identifier
1740794049
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEWBERRY COUNTY MEMORIAL HOSPITAL
Doing business as
WhitmireMedical Center of Newberry Hospital
Practice address
166 Main St
Whitmire, SC 29178-1318
Phone
(803) 805-0153
Fax
(803) 805-0156
NPI assigned
Nov 22, 2017
Last updated
Nov 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Mr. John Walter PughNPI 1265613376
Title
Board Member
Phone
(803) 364-2310

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

166 Main St
Whitmire, SC 29178-1318

Mailing address

2669 Kinard Street
Attention: PFS Director
Newberry, SC 29108
Phone (803) 405-7136

Other names 1

  • WhitmireMedical Center of Newberry Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000264 SC Part B Supplier - Clinic/Group Practice 8123927464 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
Practice locations: Little Mountain, SC; Whitmire, SC; Newberry, SC

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 5

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

National Provider Directory

National Provider Directory
Tax ID family
David L Oliver MD13 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.

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1740794049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 KINARD STREET",
            "address_2": "ATTENTION: PFS DIRECTOR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108",
            "telephone_number": "803-405-7136",
            "fax_number": "803-405-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MAIN ST",
            "city": "WHITMIRE",
            "state": "SC",
            "postal_code": "291781318",
            "telephone_number": "803-805-0153",
            "fax_number": "803-805-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "803-364-2310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhitmireMedical Center of Newberry Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitmire, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.