Organization Active NPI

Intermedical Hospital of South Carolina

  • Special Hospital
  • Columbia, SC
National Provider Identifier
1982060570
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
002405 Issued in SC
Legal business name
INTERMEDICAL HOSPITAL OF SOUTH CAROLINA
Practice address
1519 Marion St
Columbia, SC 29201-2910
Phone
(866) 347-8185
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Mr. R Andrew Donahue
Title
Ceo
Phone
(803) 296-5425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 002405 SC Primary

Addresses

Primary practice location

1519 Marion St
Columbia, SC 29201-2910

Mailing address

1519 Marion St
Columbia, SC 29201-2910
Phone (866) 347-8185

Other identifiers 1

IdentifierTypeStateIssuer
A76000MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1982060570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 MARION ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012910",
            "telephone_number": "866-347-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 MARION ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012910",
            "telephone_number": "866-347-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMEDICAL HOSPITAL OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-296-5425",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "SC",
            "license": "002405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A76000",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.