ALLENDALE COUNTY HOSPITAL BOARD


Address: 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133
Phone: 8036323311

ALLENDALE COUNTY HOSPITAL BOARD (NPI# 1609866912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609866912
Entity Type Organization
Organization Name ALLENDALE COUNTY HOSPITAL BOARD
Other Organization Name ALLENDALE COUNTY HOSPITAL
Practice Address 1787 Allendale Fairfax Hwy
Fairfax
SC 29827-9133
Mailing Address 1787 Allendale Fairfax Hwy
P. O. Box 218
Fairfax
SC 29827-9133
Practice Telephone 8036323311
Practice Fax Number 8036323415
Mailing Telephone 8036323311
Mailing Fax Number 8036323415
Enumeration Date 2005-10-27
Last Update Date 2019-04-23
Authorized Official Name TERESA H HICKS (CFO)
Authorized Official Telephone 8036323311
Is Organization Subpart Y
Parent Organization Name ALLENDALE COUNTY HOSPITAL BOARD

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 282NC0060X General Acute Care Hospital
Specialization: Critical Access
HTL-041 SC Hospitals
Y 282N00000X General Acute Care Hospital Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
SC 100895 05
SC 300958 05
SC 3389 05

Other Provider/Organization Names

Other Name Type Code
Allendale County Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144370503 Allendale County Hospital Board Clinic/Center 1787 Allendale Fairfax Highway, Fairfax, SC 29827 2007-01-10
1164529491 Allendale County Hospital Board Family Medicine 623 Memorial Ave N, Allendale, SC 29810-2715 2006-09-20
1336246677 Allendale County Hospital Board Skilled Nursing Facility 185 Revolutionary Trail, Fairfax, SC 29827 2006-09-20
1518417351 Allendale County Hospital Board Pharmacy 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2016-10-05
1407906878 Allendale County Hospital Board Clinic/Center 623 Memorial Ave N, Allendale, SC 29810 2007-01-10
1730280561 Allendale County Hospital Board Family Medicine 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2006-09-26
1295834992 Allendale County Hospital Board General Acute Care Hospital 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2006-09-21

Office Location

Street Address 1787 ALLENDALE FAIRFAX HWY
City FAIRFAX
State SC
Zip Code 29827-9133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811479660 Angela Hardin Physical Medicine & Rehabilitation 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2018-08-29
1619456217 Azalyn Hickman Occupational Therapist 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2018-08-14
1811473390 Lewis Edward Gore IIi Physical Therapist 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2018-07-17
1518417351 Allendale County Hospital Board Pharmacy 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2016-10-05
1093175010 Jeremy Cannon Physical Therapy Assistant 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2016-03-03
1750774642 Lisa Myers Nurse Practitioner 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2015-03-17
1588824288 Eunice E White Registered Nurse 1787 Allendale Fairfax Hwy, Pob 218, Fairfax, SC 29827-9133 2008-06-16
1750551818 Sotheary Chan Physician Assistant 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2008-03-05
1669566501 Thomas R Bair Emergency Medicine 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2006-10-03
1356432116 Brent Alan Armstrong Emergency Medicine 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 2006-09-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467843078 We Care Family Resource LLC Point of Service 513 Bayshore Dr., Fairfax, SC 29827 2015-02-18
1154606440 Robert M. Haberkorn Dds Clinic/Center 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 2011-10-18
1144370503 Allendale County Hospital Board Clinic/Center 1787 Allendale Fairfax Highway, Fairfax, SC 29827 2007-01-10
1336246677 Allendale County Hospital Board Skilled Nursing Facility 185 Revolutionary Trail, Fairfax, SC 29827 2006-09-20
1881646669 Shenika L. Marshall-hill Counselor 1594 Beaufort Ave. S., Fairfax, SC 29827 2006-05-17
1588623540 Rebecca Lynn Wilkes Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2006-03-20
1497745012 Robert M Haberkorn Dentist 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 2005-10-25
1588815021 James Robert Mynatt Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2008-10-02
1063607646 Mol Ky General Practice 333 Revolutionary Trail, Fairfax, SC 29827 2007-09-07
1053475566 Low Country Health Care System, Inc Pharmacy 333 Revolutionary Trail, Farifax, SC 29827 2006-12-20
Find all providers in zip 29827

Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417208182 Inova Diabetes Center General Acute Care Hospital 2700 Prosperity Ave, Suite 100, Fairfax, VA 22031-4339 2012-09-21
1619133295 Inova Fairfax Hospital General Acute Care Hospital 3650 Joseph Siewick Dr, Suite 4th Floor, Fairfax, VA 22033-1710 2008-08-01
1760513980 Inova Health Care Services General Acute Care Hospital 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 2007-03-08
1427113745 Vema General Acute Care Hospital 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 2006-12-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760963243 Prisma Health-upstate General Acute Care Hospital 112 John St Ste 104, Easley, SC 29640-1405 2018-08-23
1578044053 Prisma Health-upstate General Acute Care Hospital 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 2018-08-23
1790264497 Prisma Health-upstate General Acute Care Hospital 11404 Anderson Rd, Greenville, SC 29611 2018-08-13
1275066821 Travis B Grindstaff General Acute Care Hospital 411 Polifka Dr, Shaw Afb, SC 29152 2017-04-10
1710428321 Palmetto Health Usc Medical Group General Acute Care Hospital Taylor Marion Sts, Columbia, SC 29220-0001 2017-03-15
1003351859 Palmetto Health General Acute Care Hospital 808 Kawana Rd, Columbia, SC 29205-2033 2017-01-04
1548716665 Upstate Affiliate Organization General Acute Care Hospital 200 Andrews St, Suite 100, Greenville, SC 29601-3969 2016-08-29
1932554466 Palmetto Health Richland General Acute Care Hospital 5 Medical Park Rd., Columbia, SC 29203-6863 2016-05-03
1952756124 University of Florida General Acute Care Hospital 1537 Theresa Dr, Apt A, Charleston, SC 29412-3242 2016-04-25
1831550060 Lexington Medical Center General Acute Care Hospital 146 N Hospital Dr Ste 310, West Columbia, SC 29169-4800 2016-03-16
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Competitor

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City FAIRFAX
Zip Code 29827

Improve Information

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Dataset Information

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.

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