ALLENDALE COUNTY HOSPITAL BOARD; NPI #1407906878

Contact Information

ALLENDALE COUNTY HOSPITAL BOARD

623 MEMORIAL AVE N
ALLENDALE, SC 29810

Phone: 803-584-2128
Fax: 803-584-2125
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for ALLENDALE COUNTY HOSPITAL BOARD

NPI # 1407906878

LBN Legal business name ALLENDALE COUNTY HOSPITAL BOARD

Authorized official MELVIN HIATT - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 01/10/2007

Last updated 09/30/2014 - About 12 years ago

Identifiers

Medicaid

RHC539

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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