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RALPH JOHNSON VA MEDICAL CENTER
NPI 1104140425
Military Hospital in Charleston, SC

Active since March 15, 2010CLIA 42D0987417 · Accreditation
109 BEE ST, CHARLESTON, SC 29401(843) 577-5011 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ralph Johnson Va Medical Center NPPES

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

RALPH JOHNSON VA MEDICAL CENTER (NPI 1104140425) is a healthcare organization registered as a military hospital in Charleston, South Carolina and active in the NPI registry since March 2010. The organization holds an CLIA Accreditation certificate valid through May 22, 2032 and lists Kristy Carter Anderson, Adult Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1104140425
Entity TypeOrganization
Primary Taxonomy286500000X
Legal Business NameRALPH JOHNSON VA MEDICAL CENTER
Location Address109 BEE STCharleston, SC 29401-5703
Mailing Address336 President StCharleston, SC 29403-4314 · (843) 718-2161
Phone(843) 577-5011
Organization SubpartNo
Authorized OfficialKristy Carter AndersonAdult Nurse Practitioner · (843) 718-2161
Enumeration DateMarch 15, 2010
✔ NPI 1104140425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary HospitalHospitals
Taxonomy Code286500000X
License✔ Licensed in SC · 3570
Definition
A health care facility operated by the Department of Defense.
109 BEE ST, Charleston, SC 29401
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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 Accreditation 42D0987417

Ralph H Johnson Vamc · Charleston, SC
Active · expires May 22, 2032
CLIA Number42D0987417
Laboratory TypeHospital
Certificate Effective DateJune 5, 2001
Certificate Expiration DateMay 22, 2032
Laboratory DirectorJoseph Modzelewski
Laboratory Phone(843) 577-5011
Laboratory LocationRalph H Johnson Vamc109 Bee St 2nd Fl Rmb235, Charleston, SC 29401
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

MRS. PAMELA STAKER MSN, FNP-BC
Nurse Practitioner (Family)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
SUSANNE H HENDRICKS R.D.
Dietitian, Registered
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
DR. PATRICK S COGAN PHARM.D.
Pharmacist
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
DR. JOHN MOSS PAINTER
Counselor (Pastoral)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
MICHELLE E HOWELL LMSW
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
RENEA BROWN BLIGEN LISW-CP/S
Social Worker (Clinical)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
RENEE GRACE REAGAN LMSW
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 789-6568
MRS. JULISE WASHINGTON HUGHES LMSW
Social Worker
109 BEE ST, RM E215
CHARLESTON, SC 29401
Charleston County (843) 792-7027

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 Ralph Johnson VA Medical Center's NPI number?

The NPI number for Ralph Johnson VA Medical Center is 1104140425. It was assigned to this organization in the NPPES registry on March 15, 2010.

Where is Ralph Johnson VA Medical Center located?

Ralph Johnson VA Medical Center is located at 109 Bee St, Charleston, SC 29401. The listed phone number is (843) 577-5011.

What is Ralph Johnson VA Medical Center's specialty?

The primary specialty registered for this NPI is Military Hospital with taxonomy code 286500000X.

Does Ralph Johnson VA Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 42D0987417) is associated with this NPI, valid through May 22, 2032. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ralph Johnson VA Medical Center was last updated on March 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.