| Organization Name: | EDISTO REGIONAL HEALTH SERVICES INC |
| NPI Number: | 1275839078 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL S MASON (C F O) |
| Mailing Address: | 5073 Carolina Hwy Denmark |
| State: | SC US |
| Postal Code: | 290421679 |
| Phone Number: | 8037933034 |
| Fax Number: | 8032456277 |
| NPI Enumeration Date: | 01/27/2011 |
| NPI Last Update Date: | 05/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |