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Organization

ALLENDALE COUNTY HOSPITAL BOARD

Active
Parent organization
ALLENDALE COUNTY HOSPITAL BOARD
Other names
Allendale County Hospital Swing Bed
Organization subpart
Yes

Provider details

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

Contact information

Practice address
1787 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827-9133
(803) 632-3311
(803) 632-3415
Mailing address
PO BOX 218, FAIRFAX, SC 29827-0218
(803) 632-3311
(803) 632-3415

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
HTL-041
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0041SB
SC
Enumeration date
09/21/2006
Last updated
08/29/2014
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