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MEDICAL UNIVERSITY HOSPITAL AUTHORITY
NPI 1043837669
Clinic/Center - Rural Health in Mullins, SC

Active since June 30, 2020CLIA 42D0701376 · Waiver
511 S MAIN ST, MULLINS, SC 29574(843) 464-8244 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2022, Oct 16, 2020, Jul 2, 2020 (3 updates tracked since 2020).

About Medical University Hospital Authority NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL UNIVERSITY HOSPITAL AUTHORITY (NPI 1043837669) is a healthcare organization registered as a rural health in Mullins, South Carolina and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through August 19, 2026, maintains a secondary practice location in Chester, and lists Karyn Rae, Chief, as its authorized official.

NPPES Registry Identity

NPI1043837669
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDICAL UNIVERSITY HOSPITAL AUTHORITY
Location Address511 S MAIN STMullins, SC 29574-3509
Mailing AddressPo Box 23467New York, NY 10087-3467 · (843) 792-6200
Phone(843) 464-8244
Organization SubpartNo
Authorized OfficialKaryn RaeChief · (843) 876-1344
Enumeration DateJune 30, 2020
Last NPPES UpdateSeptember 23, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1043837669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X
511 S MAIN ST, Mullins, SC 29574
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Park DrChester, SC 29706-9769 · Phone (803) 581-3151

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0701376

Medical University Health Authority Dba Musc Health Primary Care Mullins · Mullins, SC
Active · expires Aug 19, 2026
CLIA Number42D0701376
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorGanga Mathisuthan
Laboratory Phone(843) 464-8244
Laboratory LocationMedical University Health Authority Dba Musc Health Primary Care Mullins2845 E Hwy 76 , Suite 3, Mullins, SC 29574
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARION PHYSICIAN SERVICES LLC
Clinic/Center (Rural Health)
511 S MAIN ST
MULLINS, SC 29574
Marion County (843) 464-8244
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
511 S MAIN ST
MULLINS, SC 29574
Marion County (843) 464-8244
MARION REGIONAL HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
511 S MAIN ST
MULLINS, SC 29574
Marion County (843) 464-8244
GANGATHARAN MATHISUTHAN M.D
Internal Medicine
511 S MAIN ST
MULLINS, SC 29574
Marion County (843) 464-8244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical University Hospital Authority's NPI number?

The NPI number for Medical University Hospital Authority is 1043837669. It was assigned to this organization in the NPPES registry on June 30, 2020.

Where is Medical University Hospital Authority located?

Medical University Hospital Authority is located at 511 S Main St, Mullins, SC 29574. The listed phone number is (843) 464-8244.

What is Medical University Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Medical University Hospital Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0701376) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical University Hospital Authority accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Medical University Hospital Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical University Hospital Authority was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.