NPIMap

Organization Active NPI

Union Hospital District

  • Rural Health Clinic/Center
  • Union, SC
National Provider Identifier
1851608368
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNION HOSPITAL DISTRICT
Practice address
801 W Main St
Union, SC 29379-2717
Phone
(864) 429-8029
Fax
(864) 429-3515
NPI assigned
Sep 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Tami Pettit
Title
Director of Physician Services
Phone
(864) 427-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

801 W Main St
Union, SC 29379-2717

Mailing address

801 W Main St
Union, SC 29379-2717
Phone (864) 429-8029

Other identifiers 1

IdentifierTypeStateIssuer
RHC209MedicaidSC

Other names 1

  • Carolinas Health Associates Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cha Upstate Pediatrics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1851608368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792717",
            "telephone_number": "864-429-8029",
            "fax_number": "864-429-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792717",
            "telephone_number": "864-429-8029",
            "fax_number": "864-429-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "864-427-0331"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC209",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Health Associates Family Medicine",
            "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 Jul 19, 2012; 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.