CAROLINA REGIONAL SURGERY CENTER. LTD NPI 1275596264

NPI Information

NPI: 1275596264
Provider Name: CAROLINA REGIONAL SURGERY CENTER. LTD
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 42D0989268

Address:
1021 MEDICAL CIR
SUITE 100
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 449-7885
Get Directions

CAROLINA REGIONAL SURGERY CENTER. LTD is an ambulatory surgical clinic center in Myrtle Beach, SC. CAROLINA REGIONAL SURGERY CENTER. LTD NPI is 1275596264. The provider is registered as an organization entity type.

The provider's business location address is:

1021 MEDICAL CIR
SUITE 100
MYRTLE BEACH, SC
ZIP 29572-618
Phone: (843) 449-7885
Fax: (843) 497-5137

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The CLIA number assigned to this NPI record is 42D0989268 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 2/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	ASF069	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	410148	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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