OrganizationActiveAccepts Medicare
Spartanburg Medical Center
NPI 1114017688 · Customized Equipment (DME) · Spartanburg, SC
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1114017688
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Parent organization
- Spartanburg Regional Health Services District, Inc
- Organization subpart
- Yes
- Authorized official
- Kenneth Meinke, Chief Financial Officer(864) 560-6000
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
380 Serpentine Dr
Suite 109
Spartanburg, SC 29303-3066
Phone: (864) 560-7080
Fax: (864) 560-7077
Street-level locationGet directions
Mailing address
Po Box 743070
Atlanta, GA 30374-3070
Other names (DBA / former)
- Doing business as
- That Special Look
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2016-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.