COASTAL CAROLINA MEDICAL CENTER, INC. (NPI# 1164458196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164458196 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA MEDICAL CENTER, INC. |
| Other Organization Name | COASTAL CAROLINA HOSPITAL-SWING BED UNIT |
| Practice Address |
1000 Medical Center Dr Hardeeville SC 29927-3446 |
| Mailing Address |
Po Box 741261 Atlanta GA 30374-1261 |
| Practice Telephone | 8437848000 |
| Practice Fax Number | 8437848001 |
| Mailing Telephone | 6153728500 |
| Mailing Fax Number | 6153728572 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Telephone | 3107758040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | HTL-902 | SC | Hospital Units |
| Other Name | Type Code |
|---|---|
| Coastal Carolina Hospital-Swing Bed Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144526500 | Coastal Carolina Medical Center, Inc. | Clinic/Center | 1010 Medical Center Dr, Suite 240, Hardeeville, SC 29927-3447 | 2011-02-02 |
| 1740444967 | Coastal Carolina Medical Center, Inc. | Emergency Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2008-07-16 |
| 1396818209 | Coastal Carolina Medical Center, Inc. | Rehabilitation Unit | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2006-11-16 |
| 1962472431 | Coastal Carolina Medical Center, Inc. | General Acute Care Hospital | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2006-01-25 |
| Street Address |
1000 MEDICAL CENTER DR |
| City | HARDEEVILLE |
| State | SC |
| Zip Code | 29927-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216208 | Baby Ruth Alvarez | Nurse Practitioner | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2018-08-27 |
| 1538610795 | Coastal Emergency Group, PC | Physician Assistant | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2016-10-21 |
| 1881067213 | Kasie Alison Moore | Nurse Practitioner | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2015-11-06 |
| 1821365081 | Hardeeville Hospitalists, LLC | Hospitalist | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2011-11-16 |
| 1265735286 | Megan Meade Hughes | Physician Assistant | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2010-12-14 |
| 1265680391 | Hilton Head Emergency Physicians, Inc. | Emergency Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2008-09-03 |
| 1740444967 | Coastal Carolina Medical Center, Inc. | Emergency Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2008-07-16 |
| 1770744989 | Glenn Banegura | Hospitalist | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2008-06-19 |
| 1760662464 | Kidney Specialists of Savannah PC | Internal Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2007-11-09 |
| 1982815825 | Ashley Secrest Sutherland | Emergency Medicine | 1000 Medical Center Dr, Hardeeville, SC 29927-3446 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305087 | Watauga Recovery Center,pc | Family Medicine | 21563 Whyte Hardee Blvd, Hardeeville, SC 29927 | 2017-02-17 |
| 1730546755 | Sara Silva | Counselor | 290 New River Parkway, Hardeville, SC 29927 | 2016-01-21 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1407283757 | Jann Denoncour | Occupational Therapist | 150 Hurricane Alley, Hardeeville, SC 29927 | 2013-10-02 |
| 1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
| 1538316575 | Coastal Carolina Medical Center Inc | Emergency Medicine | 1000 Medical Drive, Hardeeville, SC 29927 | 2008-08-21 |
| 1548350937 | Robert Leroy Irby | Pharmacist | 522 Stiney Rd, Hardeeville, SC 29927 | 2006-10-13 |
| 1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
| 1720006554 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4400 Highway 278, Hardeeville, SC 29927 | 2006-07-18 |
| 1891737961 | Peter Frank | Family Medicine | 21563 A Whyte Hardee Blvd, Hardeeville, SC 29927 | 2006-06-12 |
| Find all providers in zip 29927 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168971 | Self Regional Healthcare Partners | Medicare Defined Swing Bed Unit | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1376840504 | Hampton Regional Medical Center - Swingbed | Medicare Defined Swing Bed Unit | 595 W. Carolina Ave, Varnville, SC 29944 | 2011-02-24 |
| 1487702973 | Fairfield Memorial Hospital | Medicare Defined Swing Bed Unit | 102 Us Hwy 321 Bypass N, Winnsboro, SC 29180 | 2007-01-08 |
| 1962975466 | Medical University Hospital Authority | Medicare Defined Swing Bed Unit | 2829 E Highway 76, Mullins, SC 29574-6035 | 2019-01-07 |
| 1316396377 | Mcleod Health Clarendon | Medicare Defined Swing Bed Unit | 10 E Hospital St, Manning, SC 29102-3153 | 2016-06-09 |
| 1124487541 | Mcleod Medical Center-dillon | Medicare Defined Swing Bed Unit | 301 E Jackson St, Dillon, SC 29536-2509 | 2016-02-12 |
| 1538547823 | Mcleod Health Cheraw | Medicare Defined Swing Bed Unit | 711 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2015-05-07 |
| 1760729370 | Rmc-barnwell Healthcare, Inc. | Medicare Defined Swing Bed Unit | 811 Reynolds Rd, Barnwell, SC 29812-1573 | 2013-01-16 |
| 1649525387 | Sc Regional Health System, LLC | Medicare Defined Swing Bed Unit | 811 Reynolds Rd, Barnwell, SC 29812-1573 | 2012-07-18 |
| 1932464708 | Qhg of South Carolina Inc | Medicare Defined Swing Bed Unit | 2829 E Highway 76, Mullins, SC 29574-6035 | 2012-07-09 |
| Find all providers with the same taxonomy | ||||
| City | HARDEEVILLE |
| Zip Code | 29927 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.