Healthcare Provider Details

I. General information

NPI: 1487651949
Provider Name (Legal Business Name): HAMPTON REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 CAROLINA AVE WEST
VARNVILLE SC
29944-4735
US

IV. Provider business mailing address

595 CAROLINA AVE WEST
VARNVILLE SC
29944-4735
US

V. Phone/Fax

Practice location:
  • Phone: 803-943-1217
  • Fax: 803-943-1208
Mailing address:
  • Phone: 803-943-1217
  • Fax: 803-943-1208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License NumberHTL027
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number025038012
License Number StateSC

VIII. Authorized Official

Name: DAVE H HAMILL
Title or Position: CEO
Credential:
Phone: 803-943-1251