NPIMap

Organization Active NPI

Spartanburg Medical Center

Doing business as Spartanburg Medical Center-Center for Rehabilitative Medicine

  • Rehabilitation Hospital Unit
  • Spartanburg, SC
National Provider Identifier
1942772546
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
SPARTANBURG MEDICAL CENTER
Doing business as
Spartanburg Medical Center-Center for Rehabilitative Medicine
Practice address
1700 Skylyn Dr
Spartanburg, SC 29307-1041
Phone
(864) 560-6000
NPI assigned
Dec 20, 2018
Last updated
Dec 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARTANBURG MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Kenneth J Meinke
Title
Chief Financial Officer
Phone
(864) 560-6103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

1700 Skylyn Dr
Spartanburg, SC 29307-1041

Mailing address

PO Box 277723
Atlanta, GA 30384-7723
Phone (864) 560-6000

Other names 1

  • Spartanburg Medical Center-Center for Rehabilitative Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080226000331 SC Part A Provider - Hospital 3072425297 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20190823001357 SC Part A Provider - Hospital 3072425297 Practice locations: Spartanburg, SC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1942772546. Details of each certification follow.

Hospital certification: CCN 420007

Legal name
SPARTANBURG MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 21, 2022
Beds
747
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
May 1, 1995 in SC
Enrollment address
101 E Wood St
Spartanburg, SC 29303-3040
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit

Hospital certification: CCN 42T007

Legal name
SPARTANBURG MEDICAL CENTER
Organization structure
OtherProprietary
Enrollment address
1700 Skylyn Drive
Spartanburg, SC 29307-1041
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Spartanburg Medical CenterCCN 420007 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Spartanburg Medical Center for Rehab MedicineCCN 42T007 · All quality measures
Ownership
Government
Certified
Feb 22, 2019

National Provider Directory

National Provider Directory
Part of
Wellford Family Medicine

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Spartanburg Medical Center Organization, Spartanburg, SC Operational/Managerial Control Nov 27, 2007
Elmer B Holstien Individual Contracted Managing EmployeeChief Executive Officer Dec 3, 2023
Corporate Officer Aug 1, 2011
W-2 Managing EmployeeCeo Aug 1, 2011
Operational/Managerial ControlCeo Aug 1, 2011
Spartanburg Regional Health Services District Inc Organization, Spartaburg, SC 5% Or Greater Direct Ownership Interest May 1, 1995
Operational/Managerial Control Jan 1, 2019
Charles E Morrow Individual W-2 Managing EmployeeChief Medical Officer - Medical Aff Dec 4, 2023
Operational/Managerial ControlChief Medical Officer - Medical Aff Dec 4, 2023
Bruce a Davis Individual Corporate OfficerSystem Chief Financial Officer & Jan 25, 2020
W-2 Managing Employee Jan 25, 2020
Corporate Officer Jan 25, 2020
Operational/Managerial Control Jan 25, 2020

Owners & managing parties with NPI records 18

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 18

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Spartanburg Medical CenterSpartanburg, SC, CCN 420007 Hospital Operational/Managerial Control Nov 27, 2007
Spartanburg Medical CenterSpartanburg, SC, CCN 42S007 Hospital Operational/Managerial Control Nov 27, 2007
Spartanburg Regional HospiceSpartanburg, SC, CCN 421500 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 1995
May 1, 1995
CMC - Center for OB/GYNGaffney, SC, CCN 423492 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 10, 2021

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

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.

Affiliated clinicians 1,261

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,261

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1942772546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847723",
            "telephone_number": "864-560-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071041",
            "telephone_number": "864-560-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG MEDICAL CENTER",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "MEINKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "864-560-6103"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartanburg Medical Center-Center for Rehabilitative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.