Fairfield Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

HTL-154 Issued in SC

Legal business name

FAIRFIELD MEMORIAL HOSPITAL

Practice address

880 West Moultrie Street
Suite 3
Winnsboro, SC 29180-2411

Phone

(803) 635-0288

Fax

(803) 635-0262

NPI assigned

Jul 22, 2010

Organization subpart

Yes

Parent organization

FAIRFIELD MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Michael L. Williams Sr.

Title

Administrator

Phone

(803) 635-0233

Specialties & licenses 1

Addresses

Other names 1

• Blue Granite Medical Center Doing business as

Part of

Fairfield County EMS

Locations

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1992018691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 620",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291800620",
            "telephone_number": "803-635-0288",
            "fax_number": "803-635-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 WEST MOULTRIE STREET",
            "address_2": "SUITE 3",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291802411",
            "telephone_number": "803-635-0288",
            "fax_number": "803-635-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIRFIELD MEMORIAL HOSPITAL",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-635-0233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "HTL-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Granite Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fairfield Family Dentistry, LLC
• Fairfield Medical Associates, LLC
• Fairfield Memorial Hospital
• Fairfield Memorial Hospital
• Fairfield Memorial Hospital
• Family Serving Families
• Tina Fields
• First Impressions Incontinent and Medical Supplies
• Fortune Springs Emergency Physicians LLC
• Fresenius Medical Care Cna Kidney Centers, LLC

• Rural Health Clinic/Center in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.