Organization · Type 2 NPI

Allendale County Hospital Board

Rural Health Clinic/Center · Allendale, SC

NPI number 1407906878 Active

Practice location

623 Memorial Ave N
Allendale, SC 29810

Call (803) 584-2128 Map

Fax (803) 584-2125

Mailing address

P.o. Box 218
Fairfax, SC 29827

Specialties and licenses

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

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

3 other providers at this address

Allendale County Hospital BoardFamily Medicine Physician Allendale, SC NPI 1164529491
Nancy Taylor Young, DNP, APRN, FNP-CFamily Nurse Practitioner Allendale, SC NPI 1184213134
Tina Marie Howard, FNPFamily Nurse Practitioner Allendale, SC NPI 1922453059

Other rural health clinic/center providers in Allendale

The Palmetto PalaceRural Health Clinic/Center Allendale, SC NPI 1962969154

See all in Allendale →

NPI record

NPI: 1407906878
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>
Laffitte & Warren Medical Center · 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 1407906878

Allendale County Hospital Board's National Provider Identifier is 1407906878, issued on Jan 10, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Allendale, SC. The record was last updated on Sep 30, 2014.