{
"Npi": {
"NPI": "1558381541",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.",
"ParentOrgTIN": null,
"OrgName": "SPARTANBURG MEDICAL CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 277723",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ATLANTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30384-7723",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "864-560-3900",
"MailingAddressFaxNumber": "864-560-3998",
"FirstLinePracticeLocationAddress": "120 HEYWOOD AVE",
"SecondLinePracticeLocationAddress": "SUITE 300",
"PracticeLocationAddressCityName": "SPARTANBURG",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29302-1210",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "864-560-3900",
"PracticeLocationAddressFaxNumber": "864-560-3998",
"EnumerationDate": "07/20/2006",
"LastUpdateDate": "12/19/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEINKE",
"AuthorizedOfficialFirstName": "KENNETH",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "864-560-6103",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HHA-038",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}