Ralph H. Johnson VA Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

E38112 Issued in CT

Legal business name

RALPH H. JOHNSON VA MEDICAL CENTER

Practice address

109 Bee St
Charleston, SC 29401-5703

Phone

(843) 789-7311

Fax

(803) 789-6290

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Laverne Sanborn, MSN

Title

Clinical Specialist

Phone

(843) 789-7311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1972685808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074752",
            "telephone_number": "843-402-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-789-7311",
            "fax_number": "803-789-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH H. JOHNSON VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "CLINICAL SPECIALIST",
        "authorized_official_telephone_number": "843-789-7311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "E38112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph H Johnson Vamc
• Ralph H. Johnson Department of Veterans Affairs Medical Center
• Ralph H. Johnson VA Medical Center
• Ralph H. Johnson VA Medical Center
• Ralph H. Johnson VA Medical Center
• Ralph H. Johnson Veterans Affairs Medical Center
• Ralph Johnson VA Medical Center
• Brian G Ralph, DPM
• Garrett Ralston
• M Elizabeth Ralston, PHD LISW-CP LMFT

• General Acute Care Hospital in Charleston, SC
• Providers in Charleston, SC by specialty
• General Acute Care Hospital in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.