Organization
COASTAL CAROLINA MEDICAL CENTER, INC.
Active
Other names
Coastal Carolina Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RON GROTELUSCHEN (CFO)
(843) 784-8076
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(834) 784-8000
(834) 784-8001
Mailing address
PO BOX 741261, ATLANTA, GA 30374-1261
(834) 784-8000
(834) 784-8001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-902
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00877
—
SC
05
—
B00877
—
SC
Enumeration date
01/25/2006
Last updated
03/22/2022
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