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NPI Code Detail

MEDICARE: EAST COOPER MEDICAL CENTER LLC

MEDICARE: EAST COOPER MEDICAL CENTER LLC
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
1273Y00000XRehabilitation Hospital Unit

General Provider Information

NPI Number : 1740059948
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST COOPER MEDICAL CENTER LLC
Provider Business Mailing Address
First Line : 2085 FRONTIS PLAZA BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-5614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 HOSPITAL DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3764
Country : US
Telephone Number : 843-881-0100
Fax Number :
Authorized Official
Title or Position : SVP & PRESIDENT SOUTH CAROLINA REGI
Name : JASON BERND
Credential :
Telephone Number : 843-881-0100
Provider Enumeration Date : 12/28/2023
Last Update Date : 06/09/2026

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Directions to “EAST COOPER MEDICAL CENTER LLC ” Practice Location

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