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Spartanburg Medical Center

Organization Active NPI Surgery Physician · Greer, SC

NPI 1760114664 · NPPES record last updated Sep 7, 2022

Key facts

NPI
1760114664
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
SPARTANBURG MEDICAL CENTER
Practice address
2755 S Highway 14 Ste 2300
Greer, SC 29650-4938
Phone
(864) 849-9225
Fax
(864) 804-5249
NPI assigned
Jun 29, 2022
Organization subpart
Yes
Parent organization (as reported)
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC

Authorized official

Name
Kenneth J Meinke
Title
Chief Financial Officer
Phone
(864) 560-6103

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 48

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

View all 48

Other NPIs with the same Medicare PAC ID 16

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

Corporate family (same tax ID) 24

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

Practitioners 1,124

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,124

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Spartanburg Medical Center
Spartanburg, SC · CCN 420007		 Hospital Operational/Managerial Control Nov 27, 2007
Spartanburg Medical Center
Spartanburg, SC · CCN 42S007		 Hospital Operational/Managerial Control Nov 27, 2007
Spartanburg Medical Center
Spartanburg, SC · CCN 42T007		 Hospital Operational/Managerial Control Nov 27, 2007
Spartanburg Regional Hospice
Spartanburg, SC · CCN 421500		 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 1995
May 1, 1995
CMC - Center for OB/GYN
Gaffney, SC · CCN 423492		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 10, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040108000827 SC Part B Supplier - Clinic/Group Practice 3072425297 Receives reassigned benefits from 324 practitioners
48 other NPIs on this enrollment
Practice locations: Spartanburg, SC; Union, SC; Simpsonville, SC; Boiling Springs, SC; Gaffney, SC; Greenville, SC; Greer, SC

National Provider Directory

Tax ID family
SRMC Subacute Care Phys (136 organizations share this tax ID)
Part of
Spartanburg Regional Health Services District Inc

Locations

100 E Wood St
Ste 202
Spartanburg, SC 29303
Phone (864) 560-7070

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

2755 S Highway 14 Ste 2300
Greer, SC 29650-4938

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 849-9225

Other identifiers

IdentifierTypeStateIssuer
7628OtherSCMEDICARE PIN
PG1060MedicaidSC

Other names

  • Medical Group of the Carolinas-Vascular Access Surgery-Pelham Doing business as

Other providers in Greer, SC

All providers in Greer, SC · Surgery Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.