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Organization
COASTAL CAROLINA MEDICAL CENTER, INC.
Active
Organization
COASTAL CAROLINA MEDICAL CENTER, INC.
Active
Other names
Coastal Carolina Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RON GROTELUSCHEN (CFO)
(843) 784-8076
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(834) 784-8000
(834) 784-8001
Mailing address
PO BOX 741261, ATLANTA, GA 30374-1261
(834) 784-8000
(834) 784-8001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-902
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00877
—
SC
05
—
B00877
—
SC
Enumeration date
01/25/2006
Last updated
03/22/2022
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