Organization
EDISTO REGIONAL HEALTH SERVICES, INC.
Active
Parent organization
EDISTO REGIONAL HEALTH SERVICES, INC.
Other names
RMC Primary Care Holly Hill
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
187 BUNCH FORD ROAD, HOLLY HILL, SC 29059-8224
(803) 496-3312
(803) 496-7713
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 395-2237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003
TRICARE
SC
01
—
004
BCBS
SC
01
—
CK8831
RRMEDICARE
SC
01
—
CN8991
RRMEDICARE
SC
05
—
GP2353
—
SC
05
—
RHC012
—
SC
Enumeration date
01/22/2007
Last updated
10/23/2015
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