Mt Olive Family Health Center

LBN: Loris Community Hospital District
Mt Olive Family Health Center is an health care organization with primary practice located at 5260 Hwy 9 , Green Sea SC 29545. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Loris Community Hospital District can be contacted via phone (843) 392-9222, or through Todd, Fred O via phone (843) 716-7520.

Contact Information

Primary practice address
5260 Hwy 9 Green Sea SC 29545
Phone: (843) 392-9222
Fax: (843) 392-1445
Website:
Map and Directions
Authorized official contact:
Name: Todd, Fred O
Phone: (843) 716-7520

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1194806604
LBN Legal business name Loris Community Hospital District
DBA Doing business as Mt Olive Family Health Center
Authorized official Todd, Fred O
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 14th, 2008 - about 17 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 1194806604 NPPES
South Carolina MEDICAID RHC502

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