Organization
COASTAL CAROLINA MEDICAL CENTER, INC.
Active
Other names
Coastal Carolina Hospital-Swing Bed Unit
Organization subpart
No
Provider details
NPI number
Authorized official
RON GROTELUSCHEN (CFO)
(843) 784-8076
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(843) 784-8000
(843) 784-8001
Mailing address
PO BOX 741261, ATLANTA, GA 30374-1261
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
HTL-902
SC
Other
Enumeration date
06/23/2006
Last updated
03/22/2022
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