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Organization

ALLENDALE COUNTY HOSPITAL BOARD

Active
Parent organization
ALLENDALE COUNTY HOSPITAL BOARD
Other names
Carolina Medical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALLENDALE COUNTY HOSPITAL BOARD
Authorized official
MR. MELVIN K HIATT (ADMINISTRATOR)
(803) 632-3311
Entity
Organization

Contact information

Practice address
1787 ALLENDALE FAIRFAX HIGHWAY, FAIRFAX, SC 29827
(803) 632-3421
(803) 632-2410
Mailing address
P.O. BOX 218, FAIRFAX, SC 29827
(803) 632-3421
(803) 632-2410

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RHC148
SC
Enumeration date
01/10/2007
Last updated
09/30/2014
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