Healthcare Provider Details

I. General information

NPI: 1760729370
Provider Name (Legal Business Name): RMC-BARNWELL HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2013
Last Update Date: 07/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 REYNOLDS RD
BARNWELL SC
29812-1573
US

IV. Provider business mailing address

PO BOX 409
BARNWELL SC
29812-0409
US

V. Phone/Fax

Practice location:
  • Phone: 803-541-4396
  • Fax:
Mailing address:
  • Phone: 803-259-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberHTL-0485
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHTL-0485
License Number StateSC

VIII. Authorized Official

Name: MR. WILLIAM J GARRY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 803-541-4173