LORIS COMMUNITY HOSPITAL DISTRICT (NPI# 1073688057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073688057 |
| Entity Type | Organization |
| Organization Name | LORIS COMMUNITY HOSPITAL DISTRICT |
| Other Organization Name | LORIS HEALTHCARE SYSTEM |
| Practice Address |
3655 Mitchell St Box 690001 Loris SC 29569-9601 |
| Practice Telephone | 8437167596 |
| Practice Fax Number | 8437167093 |
| Mailing Telephone | 8437167596 |
| Mailing Fax Number | 8437167093 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-05-25 |
| Authorized Official Name | MR. FRED O TODD (SENIOR VP/CFO) |
| Authorized Official Telephone | 8437167271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
HTL033 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 400649 | 05 |
| Other Name | Type Code |
|---|---|
| LORIS HEALTHCARE SYSTEM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023181617 | Loris Community Hospital District | Skilled Nursing Facility | 3620 Stevens Street, Loris, SC 29569-2953 | 2006-11-15 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1194806604 | Loris Community Hospital District | Clinic/Center | 5260 Hwy 9, Green Sea, SC 29545 | 2006-10-18 |
| 1639140445 | Loris Community Hospital District | Clinic/Center | 3655 Mitchell Street, Loris, SC 29569-9601 | 2006-01-30 |
| 1215235064 | Loris Community Hospital District | Internal Medicine | 3418 Casey St, Loris, SC 29569-2904 | 2011-03-03 |
| 1942521976 | Loris Community Hospital District | Internal Medicine | 1733 Seaside Rd Sw, Suite B, Ocean Isle Beach, NC 28469-5849 | 2010-06-14 |
| 1467781005 | Loris Community Hospital District | Internal Medicine | 3418 Casey St, Loris, SC 29569-2904 | 2009-12-10 |
| 1144458167 | Loris Community Hospital District | Internal Medicine | 3980 Highway 9 E, Suite 100, Little River, SC 29566-7832 | 2009-06-29 |
| Street Address |
3655 MITCHELL ST BOX 690001 |
| City | LORIS |
| State | SC |
| Zip Code | 29569-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441329 | James N Moore IIi | Family Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2005-10-13 |
| 1437785888 | Hunter Tyson Chestnut | Registered Nurse | 3655 Mitchell St, Loris, SC 29569-2827 | 2020-03-17 |
| 1700417474 | Madeline Soucy | Nurse Practitioner | 3655 Mitchell St, Loris, SC 29569-2827 | 2020-01-30 |
| 1730627712 | Chad Dewayne Buffkin | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2017-02-09 |
| 1093172256 | Joann Hannah | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Loris, SC 29569-2827 | 2016-01-19 |
| 1699148569 | Horizon Emergency Physicians, LLC | Physician Assistant | 3655 Mitchell St, Loris, SC 29569-2827 | 2015-11-02 |
| 1376916114 | Symposium Emergency Physicians, LLC | Nurse Practitioner | 3655 Mitchell St, Loris, SC 29569-2827 | 2015-11-02 |
| 1497177216 | David Justin Guthrie | Registered Nurse | 3655 Mitchell St, Loris, SC 29569-2827 | 2014-01-14 |
| 1962753988 | Mohamed Bassiouny | Internal Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-10-01 |
| 1265708119 | Mcleod Loris Seacoast Hospital | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
| 1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
| 1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
| 1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
| 1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
| 1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
| Find all providers in zip 29569 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598897951 | Stephen A Harvey | Emergency Medicine | 3655 Mitchell St # 690001, Loris, SC 29569-2827 | 2007-03-12 |
| 1265708119 | Mcleod Loris Seacoast Hospital | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164999744 | Joseph Simmons Jr. | Emergency Medicine | 3300 W Brewington Rd, Sumter, SC 29153-8336 | 2018-10-31 |
| 1053720417 | Ralph Mckeetha Shealy | Emergency Medicine | 2719 Coddell Ct, Mount Pleasant, SC 29466-7930 | 2014-08-10 |
| 1508158296 | Toni Nmi Manos | Emergency Medicine | 1742 E. Ashley Ave., Folly Beach, SC 29439-0049 | 2011-05-12 |
| 1104096619 | Steve W. Schwartz | Emergency Medicine | 671 Jamestown Dr Ste 203, Murrells Inlet, SC 29576-7507 | 2008-03-11 |
| 1629294798 | Clara Elisabeth Gulyas | Emergency Medicine | 202 Wall St, Piedmont, SC 29673-6754 | 2007-04-17 |
| 1285776674 | Cox Medical Response Inc | Emergency Medicine | 312 S Pine St, Marion, SC 29571 | 2007-02-13 |
| 1285706747 | Malcolm Keith Sale | Emergency Medicine | 20 Balmoral Pl, Hilton Head Island, SC 29926-2270 | 2006-11-13 |
| 1629169867 | James D Dunda | Emergency Medicine | 1011 Ella St, Anderson, SC 29621-4807 | 2006-09-27 |
| 1518068873 | Marva Denise Williams | Emergency Medicine | 107 Sunset Dr, Manning, SC 29102-2904 | 2006-09-26 |
| 1376648667 | Cathy Ann Messer | Emergency Medicine | 101 E. Wood Street, Spartanburg, SC 29303 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LORIS COMMUNITY HOSPITAL DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.