Organization
AMISUB OF SOUTH CAROLINA, INC.
Active
Other names
Piedmont Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE GILMORE (CFO)
(803) 329-6829
Entity
Organization
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-1234
Mailing address
PO BOX 740772, ATLANTA, GA 30374-0772
(803) 329-6730
(919) 774-2295
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
417
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000442
HUMANA
—
05
—
290038
—
SC
01
—
420002
BCBS SOUTH CAROLINA
—
01
—
420002B000000
SECTION 1011
—
05
—
434803
—
SC
05
—
500041
—
SC
01
—
510521420
AETNA US HEALTHCARE (NATI
—
05
—
GP2060
—
SC
Enumeration date
07/06/2006
Last updated
03/23/2022
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