Organization
COASTAL CAROLINA MEDICAL CENTER, INC.
Active
Parent organization
COASTAL CAROLINA HOSPITAL
Other names
Coastal Carolina Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL CAROLINA HOSPITAL
Authorized official
MR. RON O. GROTELUSCHEN (CFO)
(843) 784-8076
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, SUITE 240, HARDEEVILLE, SC 29927-3447
(843) 784-8293
(843) 784-7801
Mailing address
PO BOX 741261, ATLANTA, GA 30374-1261
(843) 784-8293
(843) 784-7801
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC 551
—
SC
Enumeration date
02/02/2011
Last updated
03/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us