Healthcare Provider Details

I. General information

NPI: 1497985162
Provider Name (Legal Business Name): BARNWELL COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 ROUNDTREE ST
WILLISTON SC
29853-2303
US

IV. Provider business mailing address

45 ROUNDTREE ST PO BOX 177
WILLISTON SC
29853-2303
US

V. Phone/Fax

Practice location:
  • Phone: 803-266-3600
  • Fax: 803-266-3641
Mailing address:
  • Phone: 803-266-3600
  • Fax: 803-266-3641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERRI H HICKS
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 803-541-4173