Healthcare Provider Details

I. General information

NPI: 1508800186
Provider Name (Legal Business Name): GAFFNEY HMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 04/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 N LIMESTONE ST
GAFFNEY SC
29340-4742
US

IV. Provider business mailing address

1530 N LIMESTONE ST
GAFFNEY SC
29340-4742
US

V. Phone/Fax

Practice location:
  • Phone: 864-487-4271
  • Fax:
Mailing address:
  • Phone: 864-487-4271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHTL476
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateSC

VIII. Authorized Official

Name: PAULA LALOR
Title or Position: DIRECTOR/DELEGATED OFFICIAL
Credential:
Phone: 615-925-4565