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Organization

SPARTANBURG MEDICAL CENTER

Active
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Other names
Medical Group of the Carolinas - Emergency Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC
Authorized official
BRUCE A DAVIS (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization

Contact information

Practice address
101 E WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 560-7025
(864) 560-7388
Mailing address
PO BOX 743070, ATLANTA, GA 30384-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
261QE0002X
Emergency Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
097
TRICARE SUFFIX
SC
01
100
BCBS SUFFIX
SC
01
20057400
SELECT HEALTH OF SC
SC
05
5903906
NC
01
8510
MEDICARE PIN
SC
05
GP4440
SC
Enumeration date
05/20/2006
Last updated
08/05/2024
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