NPIMap

Organization Active NPI

Cherokee Medical Center

Doing business as CMC-Center for Ob/Gyn

  • Rural Health Clinic/Center
  • Gaffney, SC
National Provider Identifier
1760023980
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHEROKEE MEDICAL CENTER
Doing business as
CMC-Center for Ob/Gyn
Practice address
1506 N Limestone St Ste C
Gaffney, SC 29340-4747
Phone
(864) 487-4573
Fax
(864) 488-0966
NPI assigned
Sep 30, 2019
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Kenneth Meinke
Title
Chief Financial Officer
Phone
(864) 560-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1506 N Limestone St Ste C
Gaffney, SC 29340-4747

Mailing address

PO Box 277723
Atlanta, GA 30384-7723
Phone (864) 560-6000

Other identifiers 2

IdentifierTypeStateIssuer
RHC270MedicaidSC
42-3492OtherSCMEDICARE PIN

Other names 1

  • CMC-Center for Ob/Gyn Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210723000993 SC Part A Provider - Rural Health Clinic 5991041212 Practice locations: Gaffney, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760023980. Details of each certification follow.

Rural health clinic certification: CCN 423492

Legal name
CHEROKEE MEDICAL CENTER
Doing business as
CMC - CENTER FOR OB/GYN
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 4, 2021
Last certification
Nov 4, 2021
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
1506 N Limestone St
Ste C
Gaffney, SC 29340-4747
Related CCNs
420043

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

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Cherokee Medical Center11 organizations share this tax ID, including this one
Part of
Spartanburg Regional Health Services District Inc

Other organizations with this tax ID 10

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1506 N Limestone St
Ste C
Gaffney, SC 29340
Phone (864) 487-3334

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Spartanburg Medical Center Organization, Spartanburg, SC 5% Or Greater Direct Ownership Interest Jun 10, 2021 100%
Cody N Butts Individual Corporate OfficerPresident Jun 10, 2021
W-2 Managing EmployeePresident Jun 10, 2021
Operational/Managerial ControlPresident Jun 10, 2021
Apella Health Management Inc Organization, Spartanburg, SC Non-profit Operational/Managerial Control Jun 10, 2021
Mark a Aycock Individual Contracted Managing EmployeeCoo Jun 10, 2021
Corporate OfficerCoo Jun 10, 2021
Operational/Managerial ControlCoo Jun 10, 2021
Elmer B Holstien Individual Contracted Managing EmployeeCeo Jun 10, 2021
Corporate OfficerCeo Jun 10, 2021
Operational/Managerial ControlCeo Jun 10, 2021
Kenneth J Meinke Individual Contracted Managing EmployeeCfo Jun 10, 2021
Corporate OfficerCfo Jun 10, 2021
Operational/Managerial ControlCfo Jun 10, 2021
Bruce a Davis Individual Corporate OfficerSVP, Cfo, District Jun 10, 2021
W-2 Managing EmployeeSVP, Cfo, District Jun 10, 2021
Operational/Managerial ControlSVP, Cfo, District Jun 10, 2021

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1760023980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847723",
            "telephone_number": "864-560-6000",
            "fax_number": "864-560-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N LIMESTONE ST STE C",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404747",
            "telephone_number": "864-487-4573",
            "fax_number": "864-488-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "MEINKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "864-560-6000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC270",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "42-3492",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC-Center for Ob/Gyn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMC-Center for Ob/Gyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.