Healthcare Provider Details

I. General information

NPI: 1457309247
Provider Name (Legal Business Name): THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 SAINT MATTHEWS RD
ORANGEBURG SC
29118-1498
US

IV. Provider business mailing address

3000 SAINT MATTHEWS RD
ORANGEBURG SC
29118-1442
US

V. Phone/Fax

Practice location:
  • Phone: 803-533-2200
  • Fax: 803-395-2561
Mailing address:
  • Phone: 803-395-2200
  • Fax: 803-395-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHTL046
License Number StateSC

VIII. Authorized Official

Name: MS. LIZA M PORTERFIELD
Title or Position: CFO
Credential:
Phone: 803-395-4458