Organization
GRAND STRAND REGIONAL MEDICAL CENTER LLC
Active
Other names
Grand Strand Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EDWARD SIMS (CEO)
(615) 377-6179
Entity
Organization
Contact information
Practice address
809 82ND PARKWAY, MYRLTE BEACH, SC 29572-4607
(843) 692-1000
(843) 692-1109
Mailing address
809 82ND PARKWAY, MYRLTE BEACH, SC 29572-4607
(843) 692-1000
(843) 692-1109
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019712300002
—
PA
05
—
003071967
—
CT
05
—
00877918X
—
GA
05
—
017817909
—
MO
05
—
0420085
—
RI
05
—
0420085
—
TN
05
—
05252828
—
MS
05
—
0593830
—
IA
05
—
1000036024
—
DE
05
—
10025074600
—
NE
05
—
100375470A
—
IN
05
—
1600584
—
KY
01
—
166374000
DEPT OF LABOR
—
05
—
1762610
—
LA
05
—
177832601
—
TX
05
—
200011400A
—
OK
05
—
3016375
—
WA
05
—
304727092
—
MI
05
—
347055
—
SC
05
—
400323300
—
MD
01
—
4017285
BLUE CROSS
—
05
—
40757340
—
CO
05
—
411996
—
OH
05
—
4200085
—
NC
01
—
420085
HIGHMARK BLUE CROSS
—
05
—
4200853
—
VA
05
—
421260
—
NJ
05
—
431967000
—
ME
05
—
568652
—
HI
05
—
62601083
—
NM
05
—
719553
—
NY
05
—
7202482
—
MA
05
—
80553900
—
WI
05
—
911683400
—
FL
05
—
9810008000
—
WV
05
—
XHSP32315
—
CA
Enumeration date
05/19/2006
Last updated
03/09/2026
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