Healthcare Provider Details

I. General information

NPI: 1083668669
Provider Name (Legal Business Name): GRAND STRAND REGIONAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 82ND PARKWAY
MYRLTE BEACH SC
29572-4607
US

IV. Provider business mailing address

809 82ND PARKWAY
MYRLTE BEACH SC
29572-4607
US

V. Phone/Fax

Practice location:
  • Phone: 843-692-1000
  • Fax: 843-692-1109
Mailing address:
  • Phone: 843-692-1000
  • Fax: 843-692-1109

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 Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MARK EDWARD SIMS
Title or Position: CEO
Credential:
Phone: 615-377-6179