Organization
ALLENDALE COUNTY HOSPITAL BOARD
Active
Parent organization
ALLENDALE COUNTY HOSPITAL BOARD
Other names
Allendale County Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLENDALE COUNTY HOSPITAL BOARD
Authorized official
TERESA H HICKS (CFO)
(803) 632-3311
Entity
Organization
Contact information
Practice address
1787 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827-9133
(803) 632-3311
(803) 632-3415
Mailing address
1787 ALLENDALE FAIRFAX HWY, P. O. BOX 218, FAIRFAX, SC 29827-9133
(803) 632-3311
(803) 632-3415
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
282NC0060X
Critical Access Hospital
HTL-041
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100895
—
SC
05
—
300958
—
SC
05
—
3389
—
SC
Enumeration date
10/27/2005
Last updated
04/23/2019
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