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Organization
SPARTANBURG MEDICAL CENTER
Active
Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Authorized official
KENNETH MEINKE (CHIEF FINANICAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1700, SPARTANBURG, SC 29303-4208
(864) 560-6844
(864) 560-7015
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
NULL
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5019
MEDICARE PIN
SC
05
—
5908000
—
NC
01
—
CN1627
RAILROAD MEDICARE
SC
05
—
GP1118
—
SC
Enumeration date
12/13/2005
Last updated
11/21/2018
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