WILLIAMSBURG REGIONAL HOSPITAL (NPI# 1124192109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124192109 |
| Entity Type | Organization |
| Organization Name | WILLIAMSBURG REGIONAL HOSPITAL |
| Practice Address |
500 Nelson Blvd Kingstree SC 29556-4027 |
| Practice Telephone | 8433558888 |
| Practice Fax Number | 8433559994 |
| Mailing Telephone | 8433550303 |
| Mailing Fax Number | 8433550116 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. ALLEN ABERNETHY (CEO) |
| Authorized Official Telephone | 8433550151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801167069 | Williamsburg Regional Hospital | Clinic/Center | 2266 Hemingway Hwy, Hemingway, SC 29554-5407 | 2012-01-19 |
| 1538691449 | Williamsburg Regional Hospital | Durable Medical Equipment & Medical Supplies | 500 Thurgood Marshall Hwy, Kingstree, SC 29556-4143 | 2017-03-30 |
| 1962949933 | Williamsburg Regional Hospital | Podiatrist | 500 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556-4143 | 2017-01-27 |
| 1265866172 | Williamsburg Regional Hospital | Obstetrics & Gynecology | 402 Nelson Blvd, Suite 100, Kingstree, SC 29556 | 2013-08-27 |
| 1205102738 | Williamsburg Regional Hospital | Clinic/Center | 500 Thurgood Marshall Hwy, Suite A, Kingstree, SC 29556-4143 | 2012-03-29 |
| 1033413323 | Williamsburg Regional Hospital | Clinic/Center | 500 Thurgood Marshall Hwy, Suite F, Kingstree, SC 29556 | 2011-01-01 |
| 1487729547 | Williamsburg Regional Hospital | General Acute Care Hospital | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2006-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILLIAMSBURG REGIONAL HOSPITAL | 500 Nelson Blvd, Kingstree, SC 29556-4027 |
| Street Address |
500 NELSON BLVD |
| City | KINGSTREE |
| State | SC |
| Zip Code | 29556-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044742 | Mark Dee Fiedler | Surgery | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2005-09-22 |
| 1467095851 | Sara Inabnit Grant | Physician Assistant | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2019-10-18 |
| 1821226846 | Surgeoncare Physicians of South Carolina, LLC | Surgery | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2009-06-29 |
| 1952540080 | Kingstree Medical Practice | Family Medicine | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2009-02-12 |
| 1326299124 | Nagasumanth Vemula | Internal Medicine | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2008-10-10 |
| 1356539282 | Williamsburg Family Medicine | Family Medicine | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2007-10-04 |
| 1487729547 | Williamsburg Regional Hospital | General Acute Care Hospital | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2006-11-22 |
| 1306924311 | Williamsburg Surgical | Surgery | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
| 1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
| 1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
| 1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
| 1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
| 1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
| 1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
| 1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
| Find all providers in zip 29556 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487729547 | Williamsburg Regional Hospital | General Acute Care Hospital | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871923854 | Gail Turner | General Acute Care Hospital | 5000 Thurmond Mall Ste 207, Columbia, SC 29201-2374 | 2013-11-12 |
| 1295161420 | Medical University of South Carolina | General Acute Care Hospital | 8792 Shadowglen Dr, North Charleston, SC 29420-8358 | 2013-09-19 |
| 1417110032 | Edgefield County Hospital | General Acute Care Hospital | 155 Ridge Medical Plaza, Suite B, Egefield, SC 29824-4535 | 2008-07-03 |
| 1033322144 | Springs Memorial Hospital | General Acute Care Hospital | 800 W. Meeting Street, Lancaster, SC 29720 | 2007-05-07 |
| 1386604726 | Fairfield Memorial Hospital | General Acute Care Hospital | 102 Us Highway 321 Byp N, Winnsboro, SC 29180-9251 | 2006-03-27 |
| 1023080439 | Edgefield County Hospital | General Acute Care Hospital | 300 Ridge Medical Plaza, Edgefield, SC 29824-0590 | 2006-02-02 |
| 1609866912 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2005-10-27 |
| 1639653751 | Self Regional Healthcare Partners | General Acute Care Hospital | 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 | 2018-09-25 |
| 1508340795 | Self Regional Healthcare Partners | General Acute Care Hospital | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1417481151 | Greenville Health System | General Acute Care Hospital | 701 Grove Rd, Greenville, SC 29605-4210 | 2017-04-19 |
| Find all providers with the same taxonomy | ||||
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| 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.