MEDICARE: UNION HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780823294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	323 W SOUTH ST
Second Line	:
City	:	UNION
State	:	SC
Zip	:	29379-2838
Country	:	US
Telephone Number	:	864-427-6058
Fax Number	:	864-427-6059

Provider Business Practice Location Address
First Line	:	323 W SOUTH ST
Second Line	:
City	:	UNION
State	:	SC
Zip	:	29379-2838
Country	:	US
Telephone Number	:	864-427-6058
Fax Number	:	864-427-6059

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MRS. TAMI C PETTIT
Credential	:
Telephone Number	:	864-427-9045

Provider Enumeration Date	:	02/09/2009
Last Update Date	:	05/03/2011

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Practice Location Address:

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1265577910 — DR. HAROLD PAGAN HOPE JR. MD
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1417243833 — UNION HOSPITAL DISTRICT
Practice Location Address:

319 W SOUTH ST
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29379-2838

Practice Phone: 864-427-8380
Practice Fax:

Directions to “UNION HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

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