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Organization

ALLENDALE COUNTY HOSPITAL BOARD

Active
Parent organization
ALLENDALE COUNTY HOSPITAL BOARD
Other names
Laffitte & Warren Medical Center
Organization subpart
Yes

Provider details

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

Contact information

Practice address
623 MEMORIAL AVE N, ALLENDALE, SC 29810
(803) 584-2128
(803) 584-2125
Mailing address
P.O. BOX 218, FAIRFAX, SC 29827
(803) 632-1176
(803) 632-2410

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
SC
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RHC539
SC
Enumeration date
01/10/2007
Last updated
09/30/2014
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