Allendale County Hospital

LBN: Allendale County Hospital Board
Allendale County Hospital is an health care organization with primary practice located at 1787 Allendale Fairfax Hwy , Fairfax SC 29827-9133. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Critical Access. Hospitals / General Acute Care Hospital is the primary health care specialty. Allendale County Hospital Board can be contacted via phone (803) 632-3311, or through Hicks, Teresa H via phone (803) 632-3311.

Contact Information

Primary practice address
1787 Allendale Fairfax Hwy Fairfax SC 29827-9133
Fax: (803) 632-3415
Website:
Authorized official contact:
Name: Hicks, Teresa H

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X
Hospitals / Critical Access 282NC0060X HTL-041 South Carolina

Profile Details

NPI number 1609866912
LBN Legal business name Allendale County Hospital Board
DBA Doing business as Allendale County Hospital
Authorized official Hicks, Teresa H
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 27th, 2005
Last updated Apr 23rd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609866912 NPPES
South Carolina MEDICAID 100895
South Carolina MEDICAID 300958
South Carolina MEDICAID 3389

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