Organization
MCLEOD LORIS SEACOAST HOSPITAL
Active
Parent organization
MCLEOD HEALTH, INC.
Other names
Loris Community Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH, INC.
Authorized official
MR. SAMUEL FULTON ERVIN III (SR VP AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
(843) 716-7195
Mailing address
3655 MITCHELL ST, BOX 690001, LORIS, SC 29569-2827
(843) 716-7000
(843) 716-7195
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4200105
—
NC
05
—
AHTL33
—
SC
05
—
BHTL33
—
SC
Enumeration date
11/04/2011
Last updated
02/25/2019
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