KERSHAW HOSPITAL LLC – NPI #1508094913
Clinic/Center

KERSHAW HOSPITAL LLC is an AHC clinic located in ELGIN, SC. NPPES has assigned the NPI number 1508094913 to KERSHAW HOSPITAL LLC on June 24, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 4 years ago on Apr 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KERSHAW HOSPITAL LLC below.

NPI Profile for
KERSHAW HOSPITAL LLC

NPI Number
1508094913
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KERSHAW HOSPITAL LLC
Primary location
40 PINNACLE PARKWAY
BUILDING 100
ELGIN, SC 29045
Phone: (803) 432-4311 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERRANCE DILLON
ASSISTANT SECRETARY
Phone: (502) 596-7220
Updated
Certification Date
Apr 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KERSHAW HOSPITAL LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP7138
MEDICAIDSCGP5297
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.