Healthcare Provider Details

I. General information

NPI: 1194826081
Provider Name (Legal Business Name): HHC SOUTH CAROLINA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 WACCAMAW MEDICAL PARK DR
CONWAY SC
29526-8901
US

IV. Provider business mailing address

152 WACCAMAW MEDICAL PARK DR
CONWAY SC
29526-8901
US

V. Phone/Fax

Practice location:
  • Phone: 843-347-8871
  • Fax: 843-234-6100
Mailing address:
  • Phone: 843-347-8871
  • Fax: 843-234-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number StateSC

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SRVP CFO
Credential:
Phone: 610-768-3300