Organization Active NPI

Union Hospital District

Doing business as CHA Union Surgical Services

  • Surgery Physician
  • Union, SC
National Provider Identifier
1780823294
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
UNION HOSPITAL DISTRICT
Doing business as
CHA Union Surgical Services
Practice address
323 W South St
Union, SC 29379-2838
Phone
(864) 427-6058
Fax
(864) 427-6059
NPI assigned
Feb 9, 2009
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mrs. Tami C Pettit
Title
Practice Manager
Phone
(864) 427-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

323 W South St
Union, SC 29379-2838

Mailing address

323 W South St
Union, SC 29379-2838
Phone (864) 427-6058

Other identifiers 1

IdentifierTypeStateIssuer
GP5097MedicaidSC

Other names 1

  • CHA Union Surgical Services Doing business as

National Provider Directory

National Provider Directory

Locations

323 W South St
Union, SC 29379
Phone (864) 316-9711

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1780823294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W SOUTH ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792838",
            "telephone_number": "864-427-6058",
            "fax_number": "864-427-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W SOUTH ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792838",
            "telephone_number": "864-427-6058",
            "fax_number": "864-427-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-427-9045",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5097",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHA Union Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.