KERSHAW HOSPITAL LLC (NPI# 1861996142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861996142 |
Entity Type | Organization |
Organization Name | KERSHAW HOSPITAL LLC |
Practice Address |
1315 Roberts St Camden SC 29020-3737 |
Practice Telephone | 8034324311 |
Practice Fax Number | 8034326351 |
Mailing Telephone | 8034324311 |
Mailing Fax Number | 8034326351 |
Enumeration Date | 2018-03-21 |
Last Update Date | 2018-03-21 |
Authorized Official Name | DAVIS W TURNER (VICE PRESIDENT) |
Authorized Official Telephone | 6158449800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093705121 | Kershaw Hospital LLC | Home Health | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-28 |
1679564702 | Kershaw Hospital LLC | Clinic/Center | 103 South Main Street, Bethune, SC 29009 | 2005-10-28 |
1629442397 | Kershaw Hospital LLC | Emergency Medicine | 40 Pinnacle Pkwy, Elgin, SC 29045-8390 | 2015-11-18 |
1316322027 | Kershaw Hospital LLC | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-23 |
1508094913 | Kershaw Hospital LLC | Clinic/Center | 40 Pinnacle Parkway, Building 100, Elgin, SC 29045 | 2009-06-24 |
1588737498 | Kershaw Hospital LLC | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
1093706970 | Kershaw Hospital LLC | Hospice Care, Community Based | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-31 |
1245220300 | Kershaw Hospital LLC | General Acute Care Hospital | 1315 Roberts St, Camden, SC 29020-3737 | 2005-10-28 |
Street Address |
1315 ROBERTS ST |
City | CAMDEN |
State | SC |
Zip Code | 29020-3737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194721076 | Samuel William Polen | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2005-06-24 |
1710528260 | Gina Allen | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2019-10-07 |
1710543384 | Scott Patrick King | Physical Therapist | 1315 Roberts St, Camden, SC 29020-3737 | 2019-05-19 |
1598232332 | Jessica Leigh Davis Atkinson | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2018-10-30 |
1073986048 | Kershaw Anesthesia, LLC | Anesthesiology | 1315 Roberts St, Camden, SC 29020-3737 | 2015-11-12 |
1386029882 | Sarah Creed Bradley | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-25 |
1316322027 | Kershaw Hospital LLC | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-23 |
1174903314 | Low Country Physicians Group, LLC | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-06-03 |
1760876585 | Jack Robert Maxfield | Registered Nurse | 1315 Roberts St, Camden, SC 29020-3737 | 2015-03-19 |
1568802478 | Emily Augusta Huggins | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2013-06-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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1538107776 | Ouachita County Medical Center | Psychiatric Unit | 638 California Ave Sw, Camden, AR 71701-4604 | 2006-06-02 |
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1326095324 | Prisma Health-midlands | Psychiatric Unit | 3301 Harden Street 11 Medical Park, Columbia, SC 29203-6897 | 2006-05-27 |
1598717316 | Prisma Health-midlands | Psychiatric Unit | 1330 Taylor At Marion Street, Columbia, SC 29201-0000 | 2006-05-17 |
1902864283 | The Regional Medical Center of Orangeburg and Calhoun Counties | Psychiatric Unit | 3000 St Matthews Rd, Orangeburg, SC 29118-1498 | 2006-05-03 |
1033681630 | Spartanburg Medical Center | Psychiatric Unit | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2018-12-20 |
1972014728 | Grand Strand Regional Medical Center, LLC | Psychiatric Unit | 5050 Highway 17 Byp S, Myrtle Beach, SC 29588-4500 | 2017-10-19 |
1386038115 | Lancaster Hospital Corporation | Psychiatric Unit | 800 W Meeting St, Lancaster, SC 29720-2202 | 2015-03-18 |
1124443478 | Trident Medical Center, LLC | Psychiatric Unit | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2014-02-24 |
1376829952 | Walterboro Community Hospital, Inc. | Psychiatric Unit | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2011-10-27 |
1740314681 | Qhg of South Carolina Inc | Psychiatric Unit | 121 E Cedar St, Florence, SC 29506 | 2007-03-15 |
1649332453 | Stokes Jerome Smith Jr. | Psychiatric Unit | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-12-15 |
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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.