Organization Name: | LORIS COMMUNITY HOSPITAL DISTRICT |
NPI Number: | 1073688057 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRED O TODD (SENIOR VP/CFO) |
Mailing Address: | 3655 Mitchell St Box 690001 Loris |
State: | SC US |
Postal Code: | 295699601 |
Phone Number: | 8437167596 |
Fax Number: | 8437167093 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 05/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | HTL033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |