Healthcare Provider Details

I. General information

NPI: 1831418862
Provider Name (Legal Business Name): QHG OF SOUTH CAROLINA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2010
Last Update Date: 01/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2829 E HIGHWAY 76
MULLINS SC
29574-6035
US

IV. Provider business mailing address

PO BOX 277631
ATLANTA GA
30384-7631
US

V. Phone/Fax

Practice location:
  • Phone: 843-431-2000
  • Fax: 843-431-2414
Mailing address:
  • Phone: 843-431-2000
  • Fax: 843-431-2414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

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