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NPI Code Detail

MEDICARE: LORIS COMMUNITY HOSPITAL DISTRICT

MEDICARE: LORIS COMMUNITY HOSPITAL DISTRICT
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
1207RP1001XPulmonary Disease Physician
2207RC0200XCritical Care Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1215235064
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORIS COMMUNITY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 3418 CASEY ST
Second Line :
City : LORIS
State : SC
Zip : 29569-2904
Country : US
Telephone Number : 843-716-7911
Fax Number : 843-716-7918
Provider Business Practice Location Address
First Line : 3418 CASEY ST
Second Line :
City : LORIS
State : SC
Zip : 29569-2904
Country : US
Telephone Number : 843-716-7911
Fax Number : 843-716-7918
Authorized Official
Title or Position : LORIS PHYSICIAN CREDENTIALING
Name : CAROLYN WARD
Credential :
Telephone Number : 843-716-7911
Provider Enumeration Date : 03/03/2011
Last Update Date : 03/03/2011

Similar Medicare Providers

1841285483 — SARAH J. NORRIS FNP
Practice Location Address:
3418 CASEY ST
LORIS, SC
29569-2904
Practice Phone: 843-756-7885
Practice Fax: 843-756-7855
1588760904 — KAREN L. STAPLES FNP
Practice Location Address:
3418 CASEY ST
LORIS, SC
29569-2904
Practice Phone: 843-756-7885
Practice Fax: 843-756-7855
1710078282 — KEITH G HARKINS M.D.
Practice Location Address:
3418 CASEY ST
LORIS, SC
29569-2904
Practice Phone: 843-756-7885
Practice Fax: 843-756-7855
1043302060 — SOUTHERN MEDICAL ASSOCIATES, P.A.
Practice Location Address:
3418 CASEY ST
LORIS, SC
29569-2904
Practice Phone: 843-756-7885
Practice Fax: 843-756-7855
1467781005 — LORIS COMMUNITY HOSPITAL DISTRICT
Practice Location Address:
3418 CASEY ST
LORIS, SC
29569-2904
Practice Phone: 843-756-7885
Practice Fax: 843-756-7855
1003183120 — MCLEOD PHYSICIAN ASSOCIATES II
Practice Location Address:
3418 CASEY ST
LORIS, SC
29569-2904
Practice Phone: 843-756-7885
Practice Fax: 843-756-7855

Directions to “LORIS COMMUNITY HOSPITAL DISTRICT ” Practice Location

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