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Organization
EDISTO REGIONAL HEALTH SERVICES INC
Active
Organization
EDISTO REGIONAL HEALTH SERVICES INC
Active
Parent organization
EDISTO REGIONAL HEALTH SERVICES INC
Other names
RMC Primary Care Denmark
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDISTO REGIONAL HEALTH SERVICES INC
Authorized official
CHERYL S MASON (C F O)
(803) 395-2224
Entity
Organization
Contact information
Practice address
5073 CAROLINA HWY, DENMARK, SC 29042-1679
(803) 793-3034
(803) 245-6277
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4762
(803) 395-2237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018
TRICARE
SC
01
—
020
BCBS
SC
01
—
CK8831
RRMEDICARE
SC
01
—
CN8991
RRMEDICARE
SC
05
—
GP5405
—
SC
Enumeration date
01/27/2011
Last updated
05/08/2014
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