Organization · Type 2 NPI

Allendale County Hospital Board

Rural Health Clinic/Center · Fairfax, SC

NPI number 1144370503 Active

Practice location

1787 Allendale Fairfax Highway
Fairfax, SC 29827

Call (803) 632-3421 Map

Fax (803) 632-2410

Mailing address

P.o. Box 218
Fairfax, SC 29827

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1144370503
Entity type: Organization (Type 2)
Issued: Jan 10, 2007
Last updated: Sep 30, 2014
Status: Active
Subpart: Yes of Allendale County Hospital Board

Other names

<unavail>
Carolina Medical Associates · doing business as

Authorized official

Mr. Melvin K Hiatt
Administrator
(803) 632-3311

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144370503

Allendale County Hospital Board's National Provider Identifier is 1144370503, issued on Jan 10, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fairfax, SC. The record was last updated on Sep 30, 2014.