Organization Name: | EDGEFIELD COUNTY HOSPITAL |
NPI Number: | 1417110032 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER QUARLES (OFFICE MANAGER) |
Mailing Address: | 100 Ridge Medical Plaza Rd Suite 102 Edgefield |
State: | SC US |
Postal Code: | 298244535 |
Phone Number: | 8036373630 |
Fax Number: | 8036375348 |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | HTL479 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |