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NPI Code Detail

MEDICARE: CHESTER HMA INC

MEDICARE: CHESTER HMA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHHA-184SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003807959
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESTER HMA INC
Provider Business Mailing Address
First Line : 173 COLUMBIA ST
Second Line :
City : CHESTER
State : SC
Zip : 29706-2922
Country : US
Telephone Number : 803-581-9416
Fax Number : 803-581-8915
Provider Business Practice Location Address
First Line : 1 MEDICAL PARK DR
Second Line :
City : CHESTER
State : SC
Zip : 29706-9769
Country : US
Telephone Number : 803-581-9416
Fax Number : 803-581-8915
Authorized Official
Title or Position : SR VP AND GENERAL COUNSEL
Name : TIMOTHY PARRY
Credential : ESQ
Telephone Number : 239-598-3176
Provider Enumeration Date : 10/31/2005
Last Update Date : 08/22/2020

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Directions to “CHESTER HMA INC ” Practice Location

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