Organization · Type 2 NPI

Edisto Regional Health Services Inc.

Rural Health Clinic/Center · Orangeburg, SC

NPI number 1639475429 Active

Practice location

1619 Carolina Ave
Orangeburg, SC 29115-4939

Call (803) 531-7474 Map

Fax (803) 531-7457

Mailing address

PO Box 1245
Orangeburg, SC 29116-1245

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

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

4 other providers at this address

Edisto Regional Health Services Inc.Family Medicine Physician Orangeburg, SC NPI 1225364870
John H. Hayden Jr., MDFamily Medicine Physician Orangeburg, SC NPI 1598721243
Melanie Sheppard Hall, PHYSICIAN ASSISTANTMedical Physician Assistant Orangeburg, SC NPI 1659658185
Stacy W. Weaver, P.A.Physician Assistant Orangeburg, SC NPI 1609127075

Other rural health clinic/center providers in Orangeburg

See all in Orangeburg →

NPI record

NPI: 1639475429
Entity type: Organization (Type 2)
Issued: Jan 27, 2011
Last updated: Feb 26, 2020
Status: Active
Subpart: Yes of Edisto Regional Health Services Inc.

Other names

<unavail>
RMC Primary Care Carolina Ave · doing business as
RMC Primary Care Edisto Practice · doing business as

Authorized official

Liza M Porterfield
C F O
(803) 395-4458

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 1639475429

Edisto Regional Health Services Inc.'s National Provider Identifier is 1639475429, issued on Jan 27, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Orangeburg, SC. The record was last updated on Feb 26, 2020.