SPARTANBURG MEDICAL CENTER


Address: 380 Serpentine Dr, Suite 109, Spartanburg, SC 29303-3066
Phone: 8645607080

SPARTANBURG MEDICAL CENTER (NPI# 1114017688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114017688
Entity Type Organization
Organization Name SPARTANBURG MEDICAL CENTER
Other Organization Name THAT SPECIAL LOOK
Practice Address 380 Serpentine Dr
Suite 109
Spartanburg
SC 29303-3066
Mailing Address Po Box 743070
Atlanta
GA 30374-3070
Practice Telephone 8645607080
Practice Fax Number 8645607077
Mailing Telephone 8645604304
Mailing Fax Number 8645604413
Enumeration Date 2006-10-13
Last Update Date 2016-09-28
Authorized Official Name KENNETH MEINKE (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8645606000
Is Organization Subpart Y
Parent Organization Name SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
SC DME865 05

Other Provider/Organization Names

Other Name Type Code
That Special Look Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386205094 Spartanburg Medical Center Pediatrics 575 Ingles Dr Ste A, Inman, SC 29349-8314 2019-06-24
1780248211 Spartanburg Medical Center Urology 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 2019-04-30
1205499217 Spartanburg Medical Center Internal Medicine 104 Professional Park Ste C, Gaffney, SC 29340-2319 2019-04-16
1649735127 Spartanburg Medical Center Family Medicine 11 Doctors Park Dr Ste 200, Spartanburg, SC 29307-1008 2019-02-08
1316416415 Spartanburg Medical Center Orthopaedic Surgery 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 2018-11-19
1609345982 Spartanburg Medical Center Urology 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 2018-11-16
1316416688 Spartanburg Medical Center Internal Medicine 104 Professional Park Ste B, Gaffney, SC 29340-2319 2018-11-16
1396220554 Spartanburg Medical Center Surgery 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 2018-10-03
1114432077 Spartanburg Medical Center Orthopaedic Surgery 2755 S Highway 14 Ste 1200m, Greer, SC 29650 2017-12-13
1518498336 Spartanburg Medical Center Family Medicine 2846 N Old Laurens Rd, Gray Court, SC 29645-3157 2017-03-23

Office Location

Street Address 380 SERPENTINE DR
SUITE 109
City SPARTANBURG
State SC
Zip Code 29303-3066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942204334 Charles Edward Bowers Specialist 380 Serpentine Dr, Spartanburg, SC 29303-3066 2005-06-13
1952666067 Erin E Lusher Family Medicine 380 Serpentine Dr, Suite 200a, Spartanburg, SC 29303-3066 2012-07-05
1831466747 Kristen Mabus Wilson Nurse Practitioner 380 Serpentine Dr, Suite 200, Spartanburg, SC 29303-3066 2011-11-20
1083940688 Melody J. Carnes Social Worker 380 Serpentine Dr, Suite 200a, Spartanburg, SC 29303-3066 2009-11-02
1013161520 Spartanburg Medical Center Internal Medicine 380 Serpentine Dr, Gibbs Cancer Center, Spartanburg, SC 29303-3066 2008-11-11
1285605295 Christopher Richard Powers Internal Medicine 380 Serpentine Dr, Suite 200a, Spartanburg, SC 29303-3066 2006-01-28
1942270582 Spartanburg Regional Health Services District Inc Pharmacy 380 Serpentine Dr, Ste 201, Spartanburg, SC 29303-3066 2006-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013532126 Adam Joseph Fulcher Family Medicine Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 2020-06-15
1275011652 Tri-state Medical Supplies, North Grove Durable Medical Equipment & Medical Supplies 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 2018-07-30
1992227151 Roxanne Pope Speech-Language Pathologist 290 N Grove Medical Park Dr., Spartanburg, SC 29303 2017-07-10
1861934879 Cortney Redmond Mckinney I Counselor 250 Dewey Sve., Spartanburg, SC 29303 2016-11-08
1578011474 Instride Foot and Ankle Specialists, Pllc Podiatrist 269 North Grove Medical Drive, Spartanburg, SC 29303 2016-09-20
1023477536 Whitney Brooke Terry Physician Assistant 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 2016-02-12
1306244348 Medcare Urgent Care Spartanburg, LLC Clinic/Center 301 E Wood Street, Spartanburg, SC 29303 2014-12-08
1508201393 Tom Ju Anesthesiology 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 2013-05-07
1295072312 Marie O'dell Registered Nurse 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 2013-01-09
1518203330 Sherard Hamilton Ansley Speech-Language Pathologist 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 2012-12-26
Find all providers in zip 29303

Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780135269 Western Carolina O & P Durable Medical Equipment & Medical Supplies 366 S Pine St, Spartanburg, SC 29302-2624 2016-10-19
1174593628 Home Medical Systems, Inc. Durable Medical Equipment & Medical Supplies 110 Garner Rd, Suite 7, Spartanburg, SC 29303-3155 2006-01-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619577665 Mobilityworks, LLC Durable Medical Equipment & Medical Supplies 11816 Frontage Rd., Murrells Inlet, SC 29576 2020-10-29
1588217830 Bennett Wholesale Distributors, LLC Durable Medical Equipment & Medical Supplies 300 Long Pointe Ln Ste 220-o, Columbia, SC 29229-7543 2019-07-16
1255840310 Lovely Doves Dme Durable Medical Equipment & Medical Supplies 1509 N Longstreet St, Kingstree, SC 29556-2416 2017-09-21
1710408836 Freedom Mobility Center, Inc. Durable Medical Equipment & Medical Supplies 224 Oneil Ct Ste 23, Columbia, SC 29223-7649 2017-06-28
1255882908 South Carolina Dental Sleep Center, LLC Durable Medical Equipment & Medical Supplies 1405 Brushy Creek Rd Ste B, Taylors, SC 29687-4008 2016-10-18
1619424264 Dr. Timothy Gross' Dental Excellence LLC Durable Medical Equipment & Medical Supplies 15 Bow Cir, Suite 104, Hilton Head Island, SC 29928-3211 2016-09-01
1871953620 Pediatric Mobility Innovations, Inc. Durable Medical Equipment & Medical Supplies 4458 Augusta Rd, Ste 1b, Lexington, SC 29073-7155 2016-03-07
1295113892 United Seating and Mobility LLC Durable Medical Equipment & Medical Supplies 16b Brozzini Ct, Greenville, SC 29615-5339 2015-05-14
1417342791 Function Abilities, LLC Durable Medical Equipment & Medical Supplies 211 Eddings Point Rd, Saint Helena Island, SC 29920-3911 2015-04-02
1326431404 Pediatric Mobility Innovations Durable Medical Equipment & Medical Supplies 4458 Augusta Road Suite 1b, Lexington, SC 29073 2015-03-12
Find all providers with the same taxonomy

Competitor

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City SPARTANBURG
Zip Code 29303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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