National Provider Identifier Database

GRAND STRAND REGIONAL MEDICAL CENTER LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

GRAND STRAND REGIONAL MEDICAL CENTER, LLC
809 82ND PKWY
MYRTLE BEACH, SC29572-4607
Phone: 843-692-1000
Fax: 843-692-1109
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for GRAND STRAND REGIONAL MEDICAL CENTER, LLC

NPI Number 1770605479
Legal business name
LBN
GRAND STRAND REGIONAL MEDICAL CENTER, LLC
Authorized official ROBERT GRACE - (CFO)
Entity Organization
Organization subpart No
Enumeration date 04/04/2007
Last updated 02/01/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: DPE018

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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