MEDICARE: THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	DE2770	SC
2	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	19837	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1922063858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES

Provider Business Mailing Address
First Line	:	PO BOX 1245
Second Line	:
City	:	ORANGEBURG
State	:	SC
Zip	:	29116-1245
Country	:	US
Telephone Number	:	803-395-4497
Fax Number	:	803-395-2237

Provider Business Practice Location Address
First Line	:	1175 COOK RD
Second Line	:	SUITE 215
City	:	ORANGEBURG
State	:	SC
Zip	:	29118-8201
Country	:	US
Telephone Number	:	803-531-0126
Fax Number	:	803-536-5122

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MRS. CATHY J SOLES
Credential	:
Telephone Number	:	803-531-0126

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	03/14/2016

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Directions to “THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES ” Practice Location

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