Organization
LORIS COMMUNITY HOSPITAL DISTRICT
Active
Other names
LORIS FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED O TODD (SENIOR VICE PRESIDENT/CFO)
(843) 716-7520
Entity
Organization
Contact information
Practice address
3204 CASEY ST, LORIS, SC 29569
(843) 716-7270
(843) 756-9260
Mailing address
3655 MITCHELL ST, BOX 690001, LORIS, SC 29569-9601
(843) 716-7270
(843) 756-9260
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
HTL033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC041
—
SC
Enumeration date
10/30/2006
Last updated
01/14/2008
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