Organization
MID-CAROLINA HOSPITAL GROUP, LLC
Active
Other names
Lake City Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY R MEGNA ESQ (CEO)
(803) 799-1700
Entity
Organization
Contact information
Practice address
258 N RON MCNAIR BLVD, LAKE CITY, SC 29560-2462
(843) 374-2036
(843) 374-5111
Mailing address
3400 WEST AVE, COLUMBIA, SC 29203-6901
(808) 799-1700
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL897
SC
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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