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Organization
LIBERTY FAMILY CARE
Active
Organization
LIBERTY FAMILY CARE
Active
Parent organization
BAPTIST EASLEY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST EASLEY HOSPITAL
Authorized official
MRS. BEVERLY B MERRY (PRACTICE ADMINISTRATOR)
(864) 843-5605
Entity
Organization
Contact information
Practice address
300 W FRONT ST, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996
Mailing address
300 W FRONT ST, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801028543
NPI-BAPTIST EASLEY-LIBERTY FAMILY CARE EFFECTIVE 10-1-2009
SC
01
—
GP2653
MEDICAID-PHBE-LFC INEFFECTIVE 9-30-2009
SC
01
—
GP5257
MEDICAID GRP-BAPTIST EASLEY -LIBERTY FAMILY CARE EFFECTIVE 10-1-2009
SC
Enumeration date
05/09/2006
Last updated
03/29/2010
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