LAKE CITY COMMUNITY HOSPITAL NPI 1134301625

NPI Information

  • NPI: 1134301625
  • Provider Name: LAKE CITY COMMUNITY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: PEE DEE HEALTH CARE, PA
  • CLIA Number: 42D0251889
  • Address: 201 CASHUA ST
    DARLINGTON, SC
    ZIP 29532
  • Phone: (843) 393-7452

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NPI Details

LAKE CITY COMMUNITY HOSPITAL is a rural health clinic center in Darlington, SC. LAKE CITY COMMUNITY HOSPITAL NPI is 1134301625. The provider is registered as an organization entity type.
The provider Is Doing Business As Pee Dee Health Care, Pa.

The provider's business location address is:

201 CASHUA ST
DARLINGTON, SC
ZIP 29532-301
Phone: (843) 393-7452
Fax: (843) 393-6210

The provider's authorized official is Kim E Weatherford .
The authorized official title is Office Manager and has the following contact phone number (843) 395-8404.

The CLIA number assigned to this NPI record is 42D0251889 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 12/4/2007.

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
1261QR1300XClinic/CenterRural HealthYes

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
1423433MEDICARE OSCAR/CERTIFICATIONSOUTH CAROLINA
2423433MEDICARE PINSOUTH 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: 3/30/2025

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