Healthcare Provider Details

I. General information

NPI: 1770096216
Provider Name (Legal Business Name): CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2017
Last Update Date: 11/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1519 MARION ST
COLUMBIA SC
29201-2910
US

IV. Provider business mailing address

7800 DALLAS PKWY
PLANO TX
75024-4076
US

V. Phone/Fax

Practice location:
  • Phone: 803-296-3757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: LISA YOUNG
Title or Position: CFO
Credential:
Phone: 972-943-1225