Organization · Type 2 NPI

Edgefield County Hospital

Rural Health Clinic/Center · Egefield, SC

NPI number 1417110032 Active

Practice location

155 Ridge Medical Plaza, Suite B
Egefield, SC 29824-4535

Fax (803) 637-5348

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	HTL479 (SC)
Critical Access Hospital	282NC0060X	HTL479 (SC)

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

NPI record

NPI: 1417110032
Entity type: Organization (Type 2)
Issued: Jul 3, 2008
Last updated: Jan 22, 2018
Status: Active
Subpart: Yes of Edgefield County Hospital

Other names

<unavail>
Peach Tree Medical Center · doing business as

Authorized official

Mrs. Jennifer W Johnson
Office Manager
(803) 637-3630

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 1417110032

Edgefield County Hospital's National Provider Identifier is 1417110032, issued on Jul 3, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Egefield, SC. The record was last updated on Jan 22, 2018.