MOUNT PLEASANT HOSPITAL ER
NPI 1649587270
Emergency Medicine in Mount Pleasant, SC

NPI Status: Active since September 02, 2010

Contact Information

3500 HIGHWAY 17 N
MOUNT PLEASANT, SC
ZIP 29466
Phone: (843) 724-2954
Fax: (843) 881-3070

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  • Organization
  • Emergency Medicine
  • CLIA Number: 42D2013764
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 11-15-2025

About MOUNT PLEASANT HOSPITAL ER

This page provides the complete NPI Profile along with additional information for Mount Pleasant Hospital Er, a provider established in Mount Pleasant, South Carolina operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1649587270 assigned on September 2010. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Mount Pleasant Hospital Er. The authorized official of this NPI record is Mr. William Anthony Jackson (Chief Executive Officer)

NPI
1649587270
Provider Legal Name
ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL
Other Organization Name
MOUNT PLEASANT HOSPITAL ER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3500 HIGHWAY 17 N MOUNT PLEASANT, SC 29466
Location Phone
(843) 724-2954
Location Fax
(843) 881-3070
Mailing Address
3500 HIGHWAY 17 N SUITE 200 MOUNT PLEASANT, SC 29466
Mailing Phone
(843) 724-2954
Mailing Fax
(843) 881-3070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2010
Last Update Date
11-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License State
SC
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM ANTHONY JACKSON

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(843) 724-2954

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2013764
Facility Type
Mobile Laboratory
Certificate Effective Date
November 16, 2023
Certificate Expiration Date
November 15, 2025
Laboratory Director
DR. JOHN W. STRONG
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mount Pleasant Hospital Er on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649587270
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
268910814214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 0 + 8 + 1 + 4 + 2 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1649587270 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841561230 DAWN BOUKNIGHT
Individual
Pharmacist3500 HIGHWAY 17 N
MOUNT PLEASANT, SC 29466
(843) 606-7590
1255645644ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL
Organization
General Acute Care Hospital3500 HIGHWAY 17 N
MT PLEASANT, SC 29466
(843) 724-2954

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649587270, enumerated in the NPI registry as an "organization" on September 02, 2010

The provider is located at 3500 Highway 17 N Mount Pleasant, Sc 29466 and the phone number is (843) 724-2954

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider's CLIA number is 42D2013764 for a "mobile laboratory" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on September 02, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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