| Organization Name: | COASTAL CAROLINA MEDICAL CENTER, INC. |
| NPI Number: | 1144526500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Mailing Address: | 1010 Medical Center Dr Suite 240 Hardeeville |
| State: | SC US |
| Postal Code: | 299273447 |
| Phone Number: | 8437848293 |
| Fax Number: | 8437847801 |
| NPI Enumeration Date: | 02/02/2011 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |