Organization
INTERMEDICAL HOSPITAL OF SOUTH CAROLINA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. ANDREW DONAHUE (CEO)
(803) 296-5425
Entity
Organization
Contact information
Practice address
TAYLOR @ MARION STS, COLUMBIA, SC 29220-0001
(803) 296-3097
Mailing address
PO BOX 11069, COLUMBIA, SC 29211-1069
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
002405
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A76000
—
SC
Enumeration date
05/31/2006
Last updated
12/18/2015
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