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NPI Code Detail

MEDICARE: EAST COOPER COMMUNITY HOSPITAL, INC.

MEDICARE: EAST COOPER COMMUNITY HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance
2282N00000XGeneral Acute Care Hospital447SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2231641230OTHERAETNA US HEALTHCARE (NATI
3199669500OTHERDEPARTMENT OF LABOR
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5420089B000000OTHERSECTION 1011

General Provider Information

NPI Number : 1821026816
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST COOPER COMMUNITY HOSPITAL, INC.
Provider Business Mailing Address
First Line : PO BOX 741267
Second Line :
City : ATLANTA
State : GA
Zip : 30374-1267
Country : US
Telephone Number : 843-881-0100
Fax Number : 843-416-6886
Provider Business Practice Location Address
First Line : 2000 HOSPITAL DRIVE
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-3764
Country : US
Telephone Number : 843-881-0100
Fax Number :
Authorized Official
Title or Position : CFO
Name : HEATH JORDAN
Credential :
Telephone Number : 843-416-6215
Provider Enumeration Date : 06/29/2006
Last Update Date : 03/23/2022

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Directions to “EAST COOPER COMMUNITY HOSPITAL, INC. ” Practice Location

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