Organization
SPARTANBURG MEDICAL CENTER
Active
Parent organization
SPARTANBURG REGIOANL HEALTH SERVICES DISTRICT, INC
Other names
Regional Physician Medical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTANBURG REGIOANL HEALTH SERVICES DISTRICT, INC
Authorized official
KENNETH MEINKE (CHIEF FINANCIAL OFFICER)
(864) 560-6000
Entity
Organization
Contact information
Practice address
1540 DRAYTON RD., DRAYTON, SC 29333-9800
(864) 560-4070
(864) 560-4035
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
—
CN1627
RAILROAD MEDICARE GROUP #
SC
05
—
GP1118
—
SC
Enumeration date
08/10/2007
Last updated
09/28/2016
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