Organization
HILTON HEAD HEALTH SYSTEM, L.P.
Active
Other names
Hilton Head Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RON GROTELUSCHEN (CFO)
(843) 689-8101
Entity
Organization
Contact information
Practice address
25 HOSPITAL CENTER BLVD, HILTON HEAD ISLAND, SC 29926-2738
(843) 681-6122
Mailing address
PO BOX 741204, ATLANTA, GA 30374-1204
(678) 242-2002
(843) 689-3670
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
646
SC
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161888
COVENTRY HEALTH CARE GROU
—
01
—
200299
BCBS SOUTH CAROLINA
—
01
—
359205480
AETNA US HEALTHCARE
—
05
—
388966
—
SC
01
—
420080B000000
SECTION 1011
—
05
—
457520
—
SC
01
—
479313
AETNA US HEALTHCARE
—
01
—
7206
COVENTRY HEALTH CARE GROU
—
Enumeration date
07/05/2006
Last updated
03/23/2022
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