| Kershaw Hospital Llc | |
|
103 South Main Street Bethune SC 29009 | |
| (843) 334-6557 | |
| (843) 334-6583 |
| Full Name | Kershaw Hospital Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 103 South Main Street, Bethune, South Carolina |
| Authorized Official Name and Position | Davis W Turner (VICE PRESIDENT) |
| Authorized Official Contact | 6158449800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kershaw Hospital Llc 1315 Roberts St Camden SC 29020-3737 Ph: (803) 432-4311 | Kershaw Hospital Llc 103 South Main Street Bethune SC 29009 Ph: (843) 334-6557 |
| NPI Number | 1679564702 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 10/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679564702 | NPI | - | NPPES |
| RHC535 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | HTL-101 (South Carolina) | Primary |
Sandhills Medical Foundation, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Main Street South, Bethune, SC 29009 Phone: 866-737-4031 |