Healthcare Provider Details

I. General information

NPI: 1124051834
Provider Name (Legal Business Name): BAMBERG COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 NORTH ST
BAMBERG SC
29003-1330
US

IV. Provider business mailing address

509 NORTH ST P.O. BOX 507
BAMBERG SC
29003-1330
US

V. Phone/Fax

Practice location:
  • Phone: 803-245-6706
  • Fax: 803-245-6731
Mailing address:
  • Phone: 803-245-6706
  • Fax: 803-245-6731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number377956
License Number StateSC

VIII. Authorized Official

Name: WARREN E HAMMETT
Title or Position: CEO
Credential:
Phone: 803-245-6228