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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 100895 | 05 | |
SC | 300958 | 05 | |
SC | 3389 | 05 |
Other Name | Type Code |
---|---|
Allendale County Hospital | Doing Business As Name - Organization |
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 |
Street Address |
1787 ALLENDALE FAIRFAX HWY |
City | FAIRFAX |
State | SC |
Zip Code | 29827-9133 |
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 |
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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 Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
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. |
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 |
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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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.