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NPI Code Detail

MEDICARE: CHESTER HMA LLC

MEDICARE: CHESTER HMA 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
1314000000XSkilled Nursing Facility

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 : 1972542082
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESTER HMA LLC
Provider Business Mailing Address
First Line : PO BOX 281449
Second Line :
City : ATLANTA
State : GA
Zip : 30384-1449
Country : US
Telephone Number : 803-581-9400
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL PARK DR
Second Line :
City : CHESTER
State : SC
Zip : 29706-9769
Country : US
Telephone Number : 803-581-9400
Fax Number :
Authorized Official
Title or Position : DIRECTOR/DELEGATED OFFICIAL
Name : PAULA M LALOR
Credential :
Telephone Number : 615-465-7463
Provider Enumeration Date : 06/05/2006
Last Update Date : 09/11/2017

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Directions to “CHESTER HMA LLC ” Practice Location

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