Organization
KERSHAW HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
Mailing address
PO BOX 7003, CAMDEN, SC 29021-7003
(803) 432-4311
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-0101
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328735
—
SC
05
—
369382
—
SC
05
—
400480
—
SC
05
—
420048
—
SC
Enumeration date
10/28/2005
Last updated
03/12/2021
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