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ALLENDALE COUNTY HOSPITAL BOARD NPI 1164529491


NPI Information

NPI: 1164529491
Provider Name: ALLENDALE COUNTY HOSPITAL BOARD

Doing Business As: LAFFITTE AND WARREN MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0906679

Address:
623 MEMORIAL AVE N
ALLENDALE, SC
ZIP 29810
Phone: (803) 632-3311
Get Directions

ALLENDALE COUNTY HOSPITAL BOARD is a family medicine in Allendale, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALLENDALE COUNTY HOSPITAL BOARD NPI is 1164529491. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Laffitte And Warren Medical Center.

The provider's business location address is:

623 MEMORIAL AVE N
ALLENDALE, SC
ZIP 29810-715
Phone: (803) 632-3311
Fax: (803) 632-3415

The provider's authorized official is Ken Hiatt .
The authorized official title is Administrator and has the following contact phone number (803) 632-3311.

The CLIA number assigned to this NPI record is 42D0906679 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/14/2013.


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
1207Q00000XFamily MedicineHTL-041SOUTH CAROLINAYes

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
17962704OTHERSOUTH CAROLINAAETNA
2=========005OTHERSOUTH CAROLINATRICARE/CHAMPUS
3GP3474MEDICAIDSOUTH CAROLINA
4=========004OTHERSOUTH CAROLINABCBS
520044797OTHERSOUTH CAROLINASELECT HEALTH
67727MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAMCARE NON RHC

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

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