Organization
WALLACE THOMSON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF RUSH (CFO)
(864) 427-0351
Entity
Organization
Contact information
Practice address
322 W SOUTH ST, UNION, SC 29379-2839
(864) 427-0351
(864) 429-2676
Mailing address
PO BOX 789, UNION, SC 29379-0789
(864) 427-0351
(864) 429-2676
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DPE055
—
SC
Enumeration date
05/21/2007
Last updated
03/25/2008
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