Provider Demographics
NPI:1043990807
Name:NEWBERRY COUNTY MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:NEWBERRY COUNTY MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-364-2310
Mailing Address - Street 1:1910A COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-2644
Mailing Address - Country:US
Mailing Address - Phone:803-405-7469
Mailing Address - Fax:803-276-6885
Practice Address - Street 1:1910A COLLEGE ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2644
Practice Address - Country:US
Practice Address - Phone:803-405-7469
Practice Address - Fax:803-276-6885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty