St Marys HCA of South Carolina

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ST MARYS HCA OF SOUTH CAROLINA

Practice address

2603 Cumberland Gap Drive
Suite 203
Fayetteville, NC 28306

Phone

(910) 978-4560

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Latoya Grant Rhone

Title

Ceo

Phone

(910) 978-4560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1942687900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CUMBERLAND GAP DRIVE",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28306",
            "telephone_number": "910-978-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 CUMBERLAND GAP DRIVE",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28306",
            "telephone_number": "910-978-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS HCA OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "RHONE",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-978-4560",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Morris Squires, MD
• Wilshawnda Squires
• Priyanka Srinivas
• Heather Marie Sroka, BSW, MSW, LCSW-A
• SRRC Psychology
• St Marys Home Care Agency
• Ricci St. Jules, M.S., D.O
• Annie Stackhouse
• Savannah Lavinia Stackhouse
• Tymera Dreyona Idasia Stafford

• Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.