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Organization
CANNON MEMORIAL HOSPITAL
Active
Organization
CANNON MEMORIAL HOSPITAL
Active
Other names
AnMed Cannon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CUNNINGHAM (PRESIDENT/CEO)
(864) 512-1109
Entity
Organization
Contact information
Practice address
123 W G ACKER DR, PICKENS, SC 29671-2739
(864) 878-4791
(864) 898-1047
Mailing address
123 W G ACKER DR, PICKENS, SC 29671-2739
(864) 898-4791
(864) 899-1047
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-076
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205007
—
SC
05
—
300017386A
—
GA
05
—
382878
—
SC
05
—
400113
—
SC
01
—
42-U011
MEDICARE SWING BED UNIT
SC
05
—
4200011
—
NC
01
—
420011
MEDICARE I/P & O/P
SC
05
—
89066XH
—
NC
01
—
CM6374
MEDICARE RAILROAD
SC
Enumeration date
10/14/2005
Last updated
09/15/2022
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