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GRAND STRAND REGIONAL MEDICAL CENTER LLC NPI 1083668669


NPI Information

NPI: 1083668669
Provider Name: GRAND STRAND REGIONAL MEDICAL CENTER LLC

Doing Business As: GRAND STRAND MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 42D2270036

Address:
809 82ND PARKWAY
MYRLTE BEACH, SC
ZIP 29572
Phone: (843) 692-1000
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GRAND STRAND REGIONAL MEDICAL CENTER LLC is a general acute care hospital in Myrlte Beach, SC. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. GRAND STRAND REGIONAL MEDICAL CENTER LLC NPI is 1083668669. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Strand Medical Center.

The provider's business location address is:

809 82ND PARKWAY
MYRLTE BEACH, SC
ZIP 29572-607
Phone: (843) 692-1000
Fax: (843) 692-1109

The provider's authorized official is Robert Grace .
The authorized official title is Cfo and has the following contact phone number (843) 692-1105.

The CLIA number assigned to this NPI record is 42D2270036 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 2/1/2022.


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
1282N00000XGeneral Acute Care HospitalYes

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
11000036024MEDICAIDDELAWARE
2166374000OTHERDEPT OF LABOR
3304727092MEDICAIDMICHIGAN
462601083MEDICAIDNEW MEXICO
50593830MEDICAIDIOWA
6411996MEDICAIDOHIO
7400323300MEDICAIDMARYLAND
840757340MEDICAIDCOLORADO
9421260MEDICAIDNEW JERSEY
1000877918XMEDICAIDGEORGIA
110420085MEDICAIDTENNESSEE
121762610MEDICAIDLOUISIANA
13177832601MEDICAIDTEXAS
14420085OTHERHIGHMARK BLUE CROSS
15568652MEDICAIDHAWAII
1610025074600MEDICAIDNEBRASKA
17100375470AMEDICAIDINDIANA
184200085MEDICAIDNORTH CAROLINA
197202482MEDICAIDMASSACHUSETTS
2005252828MEDICAIDMISSISSIPPI
213016375MEDICAIDWASHINGTON
22347055MEDICAIDSOUTH CAROLINA
23719553MEDICAIDNEW YORK
24XHSP32315MEDICAIDCALIFORNIA
25200011400AMEDICAIDOKLAHOMA
26431967000MEDICAIDMAINE
27017817909MEDICAIDMISSOURI
281600584MEDICAIDKENTUCKY
294017285OTHERBLUE CROSS
300019712300002MEDICAIDPENNSYLVANIA
31003071967MEDICAIDCONNECTICUT
320420085MEDICAIDRHODE ISLAND
334200853MEDICAIDVIRGINIA
3480553900MEDICAIDWISCONSIN
35911683400MEDICAIDFLORIDA
369810008000MEDICAIDWEST VIRGINIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.