KERSHAW HOSPITAL LLC (NPI# 1245220300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245220300 |
| Entity Type | Organization |
| Organization Name | KERSHAW HOSPITAL LLC |
| Practice Address |
1315 Roberts St Camden SC 29020-3737 |
| Mailing Address |
Po Box 7003 Camden SC 29021-7003 |
| Practice Telephone | 8034324311 |
| Mailing Telephone | 8034324311 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | MR. DAVIS W TURNER (VICE PRESIDENT) |
| Authorized Official Telephone | 6158449800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | HTL-0101 | SC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 400480 | 05 | |
| SC | 328735 | 05 | |
| SC | 369382 | 05 | |
| SC | 420048 | 05 |
| 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 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 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 |
| 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 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| 1760927206 | Cooper Health System | General Acute Care Hospital | 3 Cooper Plaza., Suite 300, Camden, NJ 08103 | 2016-12-19 |
| 1427001205 | University Hospital - Camden Ems Division | General Acute Care Hospital | 1000 S 10th St, Camden, NJ 08103-2601 | 2006-05-19 |
| 1477520526 | J. Paul Jones Hospital | General Acute Care Hospital | 317 Mcwilliams Ave, Camden, AL 36726-1610 | 2006-03-07 |
| 1235134024 | Virtua Our Lady of Lourdes Hospital, Inc. | General Acute Care Hospital | 1600 Haddon Avenue, Camden, NJ 08103-3101 | 2005-06-17 |
| 1093187163 | Cooper University Hospital | General Acute Care Hospital | 3 Cooper Plz, Suite 301, Camden, NJ 08103-1438 | 2015-10-28 |
| 1336527225 | Lisa Cosgrove | General Acute Care Hospital | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-05-11 |
| 1285021600 | Cooper Health System | General Acute Care Hospital | 3 Cooper Plz, Suite 513, Camden, NJ 08103-1438 | 2015-04-23 |
| 1699181206 | Namrata Baxi | General Acute Care Hospital | 1 Cooper Plz, Camden, NJ 08103-1461 | 2014-07-02 |
| 1134560824 | Our Lady of Lourdes | General Acute Care Hospital | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2013-07-10 |
| Find all providers in CAMDEN | ||||
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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.