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Contact Information

COASTAL CAROLINA MEDICAL CENTER INC
1000 MEDICAL DRIVE
HARDEEVILLE, SC29927
 Phone: 843-784-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA MEDICAL CENTER INC

NPI Number 1538316575
LBN Legal business name COASTAL CAROLINA MEDICAL CENTER INC
Authorized official RON GROTELUSCHEN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2008
Last updated 03/22/2022 - About 4 years ago
Identifiers
SC Medicaid GP4209
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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