GEORGETOWN MEMORIAL HOSPITAL (NPI# 1982604021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982604021 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN MEMORIAL HOSPITAL |
| Other Organization Name | TIDELANDS GEORGETOWN MEMORIAL HOSPITAL |
| Practice Address |
606 Black River Rd Georgetown SC 29440-3304 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8435277000 |
| Mailing Telephone | 8435277142 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | ELIZABETH S WARD (EVP & CFO) |
| Authorized Official Telephone | 8435277000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | HTL-0007 | SC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 307128 | 05 | |
| SC | 343274 | 05 |
| Other Name | Type Code |
|---|---|
| Tidelands Georgetown Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1023346681 | Georgetown Memorial Hospital | Clinic/Center | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2009-11-19 |
| 1548457534 | Georgetown Memorial Hospital | Clinic/Center | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-10-03 |
| Street Address |
606 BLACK RIVER RD |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301731 | Mary L Michael | Nurse Anesthetist, Certified Registered | 606 Black River Rd, Georgetown, SC 29440-3304 | 2005-07-22 |
| 1518489814 | Pauline A Seebode | Nurse Practitioner | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-07-09 |
| 1588191134 | Michael Patrick Stribos | Emergency Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-05-15 |
| 1104365857 | Kristen Miller | Nurse Anesthetist, Certified Registered | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-02-14 |
| 1083096192 | Adam Christopher Hughes | Internal Medicine | 606 Black River Rd, Georgetown, SC 29440 | 2015-06-25 |
| 1619364031 | Agnes Edwards | Social Worker | 606 Black River Rd, Georgetown, SC 29440 | 2015-04-23 |
| 1700293081 | Christopher Devault | Specialist/Technologist | 606 Black River Rd, Georgetown, SC 29440-3304 | 2014-07-17 |
| 1790070415 | Lananh Nguyen | Internal Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2011-06-10 |
| 1255634069 | Family Pharmacy At Gmh | Pharmacy | 606 Black River Rd, Georgetown, SC 29440-3304 | 2010-12-16 |
| 1699903898 | Matthew Bernstein | Pathology | 606 Black River Rd, Georgetown, SC 29440-3304 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| 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 |
|---|---|---|---|---|
| 1114385218 | Susanne Clare | General Acute Care Hospital | 5 Hickory Ln, Georgetown, MA 01833-1801 | 2016-02-03 |
| 1588054811 | Beebe Healthcare | General Acute Care Hospital | 26179 Manor Way, Georgetown, DE 19947-2597 | 2015-01-26 |
| 1659668374 | Brown County General Hospital Home Care Unit | General Acute Care Hospital | 474 Home St Ste C, Georgetown, OH 45121-1496 | 2011-07-01 |
| 1477878957 | Essent Healthcare - Georgetown LLC | General Acute Care Hospital | 425 Home Street, Georgetown, OH 45121-1449 | 2010-03-29 |
| 1477596716 | St. David's Healthcare Partnership, L.p, LLP | General Acute Care Hospital | 2000 Scenic Dr, Georgetown, TX 78626-7726 | 2006-06-14 |
| 1558315010 | Southwest Healthcare of Brown County Ohio, LLC | General Acute Care Hospital | 425 Home St, Georgetown, OH 45121-1407 | 2006-05-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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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.