Healthcare Provider Details

I. General information

NPI: 1033322144
Provider Name (Legal Business Name): SPRINGS MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W. MEETING STREET
LANCASTER SC
29720
US

IV. Provider business mailing address

800 W. MEETING STREET
LANCASTER SC
29720
US

V. Phone/Fax

Practice location:
  • Phone: 803-286-1794
  • Fax: 803-286-1374
Mailing address:
  • Phone: 803-286-1794
  • Fax: 803-286-1374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateSC

VIII. Authorized Official

Name: MS. ANNIE FONGHEISER
Title or Position: DIRECTOR
Credential: MA,MS, LCAS,CAC-II
Phone: 803-286-1794