| Edisto Regional Health Services Inc. | |
|
215 Dorange Rd Branchville SC 29432-2241 | |
| (803) 274-8400 | |
| (803) 274-8817 |
| Full Name | Edisto Regional Health Services Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 215 Dorange Rd, Branchville, South Carolina |
| Authorized Official Name and Position | Cheryl S. Mason (C.F.O.) |
| Authorized Official Contact | 8033952224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edisto Regional Health Services Inc. Po Box 1245 Orangeburg SC 29116-1245 Ph: (803) 395-4497 | Edisto Regional Health Services Inc. 215 Dorange Rd Branchville SC 29432-2241 Ph: (803) 274-8400 |
| NPI Number | 1487701157 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487701157 | NPI | - | NPPES |
| CK8831 | Other | SC | RRMEDICARE |
| CN8991 | Other | SC | RRMEDICARE |
| 012 | Other | SC | BLUECHOICE |
| 423856 | Other | SC | MEDICARE RURAL HEALTH NUMBER |
| RHC165 | Medicaid | SC | |
| GP4574 | Medicaid | SC | |
| 012 | Other | SC | BCBS |
| 012 | Other | SC | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Musc Community Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Dorange Rd, Branchville, SC 29432 Phone: 843-792-1414 | |
Edisto Regional Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Dorange Rd, Branchville, SC 29432 Phone: 803-274-8400 Fax: 803-274-8817 |