Organization Active NPI

Union Hospital District

Doing business as CHA Union Hospitalist Group

  • Hospitalist Physician
  • Union, SC
National Provider Identifier
1831523562
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
UNION HOSPITAL DISTRICT
Doing business as
CHA Union Hospitalist Group
Practice address
322 W South St
Union, SC 29379-2839
Phone
(864) 427-4081
Fax
(864) 427-8733
NPI assigned
Aug 29, 2013
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Tami Pettit
Title
Director
Phone
(864) 427-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

322 W South St
Union, SC 29379-2839

Mailing address

720 S Duncan Byp
Union, SC 29379-7830
Phone (864) 427-4081

Other identifiers 1

IdentifierTypeStateIssuer
GP6302MedicaidSC

Other names 1

  • CHA Union Hospitalist Group Doing business as

National Provider Directory

National Provider Directory

Locations

720 S Duncan Byp
Union, SC 29379
Phone (864) 429-3003

319 W South St
Union, SC 29379
Phone (864) 427-8380

408 N Duncan Byp
Union, SC 29379
Phone (864) 427-2401

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1831523562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797830",
            "telephone_number": "864-427-4081",
            "fax_number": "864-427-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W SOUTH ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792839",
            "telephone_number": "864-427-4081",
            "fax_number": "864-427-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-427-4081"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6302",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHA Union Hospitalist Group",
            "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 Nov 13, 2013; 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.