# LORIS COMMUNITY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LORIS HEALTHCARE SYSTEM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073688057
- **Authorized official:** MR. FRED O TODD (SENIOR VP/CFO)
- **Authorized official phone:** (843) 716-7271

## Contact information

- **Practice address:** 3655 MITCHELL ST, BOX 690001, LORIS, SC 29569-9601
- **Practice address phone:** (843) 716-7596
- **Practice address fax:** (843) 716-7093
- **Mailing address:** 3655 MITCHELL ST, BOX 690001, LORIS, SC 29569-9601
- **Mailing address phone:** (843) 716-7596
- **Mailing address fax:** (843) 716-7093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | HTL033 | SC | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 05/25/2010