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Organization

CANNON MEMORIAL HOSPITAL

Active
Other names
AnMed Cannon
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL CUNNINGHAM (PRESIDENT/CEO)
(864) 512-1109
Entity
Organization

Contact information

Practice address
123 W G ACKER DR, PICKENS, SC 29671-2739
(864) 878-4791
(864) 898-1047
Mailing address
123 W G ACKER DR, PICKENS, SC 29671-2739
(864) 898-4791
(864) 899-1047

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-076
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205007
SC
05
300017386A
GA
05
382878
SC
05
400113
SC
01
42-U011
MEDICARE SWING BED UNIT
SC
05
4200011
NC
01
420011
MEDICARE I/P & O/P
SC
05
89066XH
NC
01
CM6374
MEDICARE RAILROAD
SC
Enumeration date
10/14/2005
Last updated
09/15/2022
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