Provider Demographics
NPI:1730358219
Name:LOWER FLORENCE COUNTY HOSPITAL
Entity type:Organization
Organization Name:LOWER FLORENCE COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MEGNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-799-1700
Mailing Address - Street 1:211 S. JONES RD
Mailing Address - Street 2:
Mailing Address - City:OLANTA
Mailing Address - State:SC
Mailing Address - Zip Code:29114-9493
Mailing Address - Country:US
Mailing Address - Phone:843-396-9723
Mailing Address - Fax:803-254-3678
Practice Address - Street 1:211 S. JONES RD
Practice Address - Street 2:
Practice Address - City:OLANTA
Practice Address - State:SC
Practice Address - Zip Code:29114-9493
Practice Address - Country:US
Practice Address - Phone:843-396-9723
Practice Address - Fax:803-254-3678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC42-3435OtherMEDICARE PROVIDER NUMBER