Kershaw Hospital LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

KERSHAW HOSPITAL LLC

Practice address

1315 Roberts St
Camden, SC 29020-3737

Phone

(803) 432-4311

Fax

(803) 432-6351

NPI assigned

Mar 21, 2018

Organization subpart

No

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

Authorized official

Name

Kathy J. Teague

Title

Assistant Vice President, Secretary

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1861996142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311",
            "fax_number": "803-432-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311",
            "fax_number": "803-432-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kershawdonotreply@kershaw.direct.schiex.state.sc.us",
            "affiliation": "N",
            "address_1": "1315 Roberts St",
            "city": "Camden",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290203737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kershawhealth

• Psychiatric Hospital Unit in Camden, SC
• Providers in Camden, SC by specialty
• Psychiatric Hospital Unit in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.