Organization Active NPI

Bamberg County Memorial Hospital Swing Bed

  • Pediatric Skilled Nursing Facility
  • Bamberg, SC
National Provider Identifier
1780899377
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
377956 Issued in SC
Legal business name
BAMBERG COUNTY MEMORIAL HOSPITAL SWING BED
Practice address
509 North St
Drawer 507
Bamberg, SC 29003-1330
Phone
(803) 245-4321
Fax
(803) 245-6731
NPI assigned
May 14, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mr. Warren E Hammett
Title
Ceo
Phone
(803) 245-6228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 377956 SC Primary

Addresses

Primary practice location

509 North St
Drawer 507
Bamberg, SC 29003-1330

Mailing address

509 North St
Bamberg, SC 29003-1330
Phone (803) 245-4321

Other identifiers 1

IdentifierTypeStateIssuer
0029SBMedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1780899377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031330",
            "telephone_number": "803-245-4321",
            "fax_number": "803-245-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 NORTH ST",
            "address_2": "DRAWER 507",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031330",
            "telephone_number": "803-245-4321",
            "fax_number": "803-245-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBERG COUNTY MEMORIAL HOSPITAL SWING BED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "HAMMETT",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-245-6228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "SC",
            "license": "377956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029SB",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bamberg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.