Healthcare Provider Details

I. General information

NPI: 1730468992
Provider Name (Legal Business Name): NEWBERRY COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2011
Last Update Date: 08/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2669 KINARD ST
NEWBERRY SC
29108-2911
US

IV. Provider business mailing address

2669 KINARD ST
NEWBERRY SC
29108-2911
US

V. Phone/Fax

Practice location:
  • Phone: 803-405-7537
  • Fax: 803-405-7196
Mailing address:
  • Phone: 803-405-7537
  • Fax: 803-405-7196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberHTL-015
License Number StateSC

VIII. Authorized Official

Name: MS. RHONDA WILLIAMS
Title or Position: PFS MANAGER
Credential:
Phone: 803-405-7537