Healthcare Provider Details

I. General information

NPI: 1083255103
Provider Name (Legal Business Name): CHEROKEE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 MEDICAL CENTER DR
GAFFNEY SC
29340-4823
US

IV. Provider business mailing address

PO BOX 277723
ATLANTA GA
30384-7723
US

V. Phone/Fax

Practice location:
  • Phone: 864-487-7186
  • Fax: 864-487-7246
Mailing address:
  • Phone: 864-560-6000
  • Fax: 864-560-4023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KENNETH MEINKE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 864-560-6000