Organization
INTERMEDICAL HOSPITAL OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R ANDREW DONAHUE (CEO)
(803) 296-5425
Entity
Organization
Contact information
Practice address
1519 MARION ST, COLUMBIA, SC 29201-2910
(866) 347-8185
Mailing address
1519 MARION ST, COLUMBIA, SC 29201-2910
(866) 347-8185
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
002405
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A76000
—
SC
Enumeration date
01/12/2016
Last updated
01/12/2016
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