Provider Demographics
NPI:1467492025
Name:SPARTANBURG REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:SPARTANBURG REGIONAL MEDICAL CENTER
Other - Org Name:SPARTANBURG EMERGENCY CENTER PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:864-560-6000
Mailing Address - Street 1:101 E WOOD ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3040
Mailing Address - Country:US
Mailing Address - Phone:864-560-7551
Mailing Address - Fax:864-560-7520
Practice Address - Street 1:101 E WOOD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3040
Practice Address - Country:US
Practice Address - Phone:864-560-7551
Practice Address - Fax:864-560-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty