Organization · Type 2 NPI

Coastal Carolina Medical Center, Inc.

Emergency Medical Services (Emergency Medicine) Physician · Hardeeville, SC

NPI number 1740444967 Active

Practice location

1000 Medical Center Dr
Hardeeville, SC 29927-3446

Call (843) 784-8000 Map

Mailing address

PO Box 741261
Atlanta, GA 30374-1261

Specialties and licenses

Taxonomy	Code	License
Emergency Medical Services (Emergency Medicine) Physician Primary	207PE0004X	None listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

35 other providers at this address

NPI record

NPI: 1740444967
Entity type: Organization (Type 2)
Issued: Jul 16, 2008
Last updated: Mar 22, 2022
Status: Active
Subpart: Yes of Coastal Carolina Medical Center, Inc.

Other names

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Coastal Carolina Hospital · doing business as
Coastal Carolina Hospital · doing business as

Authorized official

Mr. Ron Groteluschen
CFO
(843) 784-8076

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 1740444967

Coastal Carolina Medical Center, Inc.'s National Provider Identifier is 1740444967, issued on Jul 16, 2008. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Hardeeville, SC. The record was last updated on Mar 22, 2022.