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NPI Code Detail

MEDICARE: UNION HOSPITAL DISTRICT CAROLINAS HEALTH ASSOCIATES - SOUTH M

MEDICARE: UNION HOSPITAL DISTRICT CAROLINAS HEALTH ASSOCIATES - SOUTH M
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
1207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3DG6642OTHERSCMEDICARE RAILROAD
4DG6642OTHERSCRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1578516043
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNION HOSPITAL DISTRICT CAROLINAS HEALTH ASSOCIATES - SOUTH M
Provider Business Mailing Address
First Line : 801 W MAIN ST
Second Line :
City : UNION
State : SC
Zip : 29379-2717
Country : US
Telephone Number : 864-429-8029
Fax Number : 864-429-3515
Provider Business Practice Location Address
First Line : 801 W MAIN ST
Second Line :
City : UNION
State : SC
Zip : 29379-2717
Country : US
Telephone Number : 864-429-8029
Fax Number : 864-429-3515
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JEFF W RUSH
Credential :
Telephone Number : 864-429-2601
Provider Enumeration Date : 05/18/2006
Last Update Date : 06/21/2018

Similar Medicare Providers

1902891153 — DR. MATTHEW JOHN FLOOD M.D.
Practice Location Address:
801 W MAIN ST
UNION, SC
29379-2717
Practice Phone: 864-429-8029
Practice Fax: 864-429-3515
1912951815 — LAURA MELINDA MORETZ MD
Practice Location Address:
801 W MAIN ST
UNION, SC
29379-2717
Practice Phone: 864-429-8029
Practice Fax: 864-429-3515
1194822510 — OMRI KENNETH WEBB MD
Practice Location Address:
801 W MAIN ST
UNION, SC
29379-2717
Practice Phone: 864-429-3029
Practice Fax: 864-429-3015
1144496829 — UNION HOSPITAL DISTRICT
Practice Location Address:
801 W MAIN ST
UNION, SC
29379-2717
Practice Phone: 864-429-8029
Practice Fax:
1033376058 — CENTER FOR FAMILY HEALTHCARE
Practice Location Address:
801 W MAIN ST
UNION, SC
29379-2717
Practice Phone: 864-429-8029
Practice Fax: 864-429-3515
1851608368 — UNION HOSPITAL DISTRICT
Practice Location Address:
801 W MAIN ST
UNION, SC
29379-2717
Practice Phone: 864-429-8029
Practice Fax: 864-429-3515

Directions to “UNION HOSPITAL DISTRICT CAROLINAS HEALTH ASSOCIATES - SOUTH M ” Practice Location

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