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MARION REGIONAL HEALTHCARE SYSTEM NPI 1376670562


NPI Information

NPI: 1376670562
Provider Name: MARION REGIONAL HEALTHCARE SYSTEM

Doing Business As: MARION COUNTY SURGICAL CENTER

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 42D2267911

Address:
2835 E HIGHWAY 76
SUITE 5
MULLINS, SC
ZIP 29574
Phone: (843) 423-3739
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MARION REGIONAL HEALTHCARE SYSTEM is a surgery in Mullins, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MARION REGIONAL HEALTHCARE SYSTEM NPI is 1376670562. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Marion County Surgical Center.

The provider's business location address is:

2835 E HIGHWAY 76
SUITE 5
MULLINS, SC
ZIP 29574-038
Phone: (843) 423-3739
Fax: (843) 423-4102

The provider's authorized official is Harold E Tucker .
The authorized official title is Chief Executive Officer and has the following contact phone number (843) 431-2405.

The CLIA number assigned to this NPI record is 42D2267911 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 11/12/2007.


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
1208600000XSurgerySOUTH 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
1G70975MEDICARE UPINSOUTH CAROLINA
28178MEDICARE PINSOUTH CAROLINA
3N00724MEDICAIDSOUTH CAROLINA
4D18177MEDICARE UPINSOUTH CAROLINA
5110338MEDICAIDSOUTH 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: 5/5/2024

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