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Organization

MARION REGIONAL HEALTHCARE SYSTEM

Active
Parent organization
MARION REGIONAL HEALTHCARE SYSTEM
Other names
Advanced Medical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARION REGIONAL HEALTHCARE SYSTEM
Authorized official
HAROLD E TUCKER (CEO)
(843) 431-2405
Entity
Organization

Contact information

Practice address
511 S MAIN ST, MULLINS, SC 29574-3509
(843) 464-8244
(843) 464-6519
Mailing address
PO BOX 388, MULLINS, SC 29574-0388
(843) 464-8244
(843) 464-6519

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
428956
MEDICARE RHC
SC
01
8178
MEDICARE ID TYPE UNSPECIFIED
SC
05
PA3013
SC
Enumeration date
05/11/2006
Last updated
08/18/2010
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