| Edgefield County Hospital | |
|
155 Ridge Medical Plaza Suite B Egefield SC 29824-4535 | |
| (803) 637-3630 | |
| (803) 637-5348 |
| Full Name | Edgefield County Hospital |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 155 Ridge Medical Plaza, Egefield, South Carolina |
| Authorized Official Name and Position | Jennifer W Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 8036373630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgefield County Hospital 155 Ridge Medical Plaza Suite B Edgefield SC 29824-4535 Ph: (803) 637-3630 | Edgefield County Hospital 155 Ridge Medical Plaza Suite B Egefield SC 29824-4535 Ph: (803) 637-3630 |
| NPI Number | 1417110032 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417110032 | NPI | - | NPPES |
| RHC548 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | HTL479 (South Carolina) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | HTL479 (South Carolina) | Secondary |