Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIONAL HEATH SERVICES DISTRICT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIONAL HEATH SERVICES DISTRICT, INC.
Authorized official
KENNETH MEINKE (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
2846 N OLD LAURENS RD, GRAY COURT, SC 29645-3157
(864) 560-4868
(864) 560-4870
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5019
MEDICARE PIN
SC
05
—
GP8144
—
SC
Enumeration date
03/23/2017
Last updated
01/26/2018
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