Organization
EDGEFIELD COUNTY HOSPITAL
Active
Parent organization
EDGEFIELD COUNTY HOSPITAL
Other names
Peach Tree Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDGEFIELD COUNTY HOSPITAL
Authorized official
MRS. JENNIFER W JOHNSON (OFFICE MANAGER)
(803) 637-3630
Entity
Organization
Contact information
Practice address
155 RIDGE MEDICAL PLAZA, SUITE B, EGEFIELD, SC 29824-4535
(803) 637-3630
(803) 637-5348
Mailing address
155 RIDGE MEDICAL PLAZA, SUITE B, EDGEFIELD, SC 29824-4535
(803) 637-3630
(803) 637-5348
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
HTL479
SC
282NC0060X
Critical Access Hospital
HTL479
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC548
—
SC
Enumeration date
07/03/2008
Last updated
01/22/2018
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