Organization · Type 2 NPI

Spartanburg Medical Center

Customized Equipment (DME) · Spartanburg, SC

NPI number 1114017688 Active

Practice location

380 Serpentine Dr, Suite 109
Spartanburg, SC 29303-3066

Call (864) 560-7080 Map

Fax (864) 560-7077

Mailing address

PO Box 743070
Atlanta, GA 30374-3070

Specialties and licenses

Taxonomy	Code	License
Customized Equipment (DME) Primary	332BC3200X	None listed

Customized Equipment (DME): Definition to come...

5 other providers at this address

Spartanburg Medical CenterHematology & Oncology Physician Spartanburg, SC NPI 1013161520
Spartanburg Regional Health Services District IncCommunity/Retail Pharmacy Spartanburg, SC NPI 1942270582
Charles Edward Bowers, MDHematology & Oncology Physician Spartanburg, SC NPI 1942204334
Kristen Mabus Wilson, CNPFamily Nurse Practitioner Spartanburg, SC NPI 1831466747
Melody J. Carnes, LCSWClinical Social Worker Spartanburg, SC NPI 1083940688

NPI record

NPI: 1114017688
Entity type: Organization (Type 2)
Issued: Oct 13, 2006
Last updated: Sep 28, 2016
Status: Active
Subpart: Yes of Spartanburg Regional Health Services District, Inc

Other names

<unavail>
That Special Look · doing business as

Authorized official

Kenneth Meinke
Chief Financial Officer
(864) 560-6000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1114017688

Spartanburg Medical Center's National Provider Identifier is 1114017688, issued on Oct 13, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Spartanburg, SC. The record was last updated on Sep 28, 2016.