ALLENDALE COUNTY HOSPITAL BOARD (NPI# 1295834992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295834992 |
| Entity Type | Organization |
| Organization Name | ALLENDALE COUNTY HOSPITAL BOARD |
| Other Organization Name | ALLENDALE COUNTY HOSPITAL SWING BED |
| Practice Address |
1787 Allendale Fairfax Hwy Fairfax SC 29827-9133 |
| Mailing Address |
Po Box 218 Fairfax SC 29827-0218 |
| Practice Telephone | 8036323311 |
| Practice Fax Number | 8036323415 |
| Mailing Telephone | 8036323311 |
| Mailing Fax Number | 8036323415 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | MR. KEN HIATT (ADMINISTRATOR) |
| Authorized Official Telephone | 8036323311 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLENDALE COUNTY HOSPITAL BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
HTL-041 | SC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0041SB | 05 |
| Other Name | Type Code |
|---|---|
| Allendale County Hospital Swing Bed | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
| 1164529491 | Allendale County Hospital Board | Family Medicine | 623 Memorial Ave N, Allendale, SC 29810-2715 | 2006-09-20 |
| 1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
| 1609866912 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2005-10-27 |
| 1518417351 | Allendale County Hospital Board | Pharmacy | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2016-10-05 |
| 1407906878 | Allendale County Hospital Board | Clinic/Center | 623 Memorial Ave N, Allendale, SC 29810 | 2007-01-10 |
| 1730280561 | Allendale County Hospital Board | Family Medicine | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2006-09-26 |
| Street Address |
1787 ALLENDALE FAIRFAX HWY |
| City | FAIRFAX |
| State | SC |
| Zip Code | 29827-9133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866912 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2005-10-27 |
| 1811479660 | Angela Hardin | Physical Medicine & Rehabilitation | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2018-08-29 |
| 1619456217 | Azalyn Hickman | Occupational Therapist | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2018-08-14 |
| 1811473390 | Lewis Edward Gore IIi | Physical Therapist | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2018-07-17 |
| 1518417351 | Allendale County Hospital Board | Pharmacy | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2016-10-05 |
| 1093175010 | Jeremy Cannon | Physical Therapy Assistant | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2016-03-03 |
| 1750774642 | Lisa Myers | Nurse Practitioner | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2015-03-17 |
| 1588824288 | Eunice E White | Registered Nurse | 1787 Allendale Fairfax Hwy, Pob 218, Fairfax, SC 29827-9133 | 2008-06-16 |
| 1750551818 | Sotheary Chan | Physician Assistant | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2008-03-05 |
| 1669566501 | Thomas R Bair | Emergency Medicine | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
| 1154606440 | Robert M. Haberkorn Dds | Clinic/Center | 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 | 2011-10-18 |
| 1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
| 1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
| 1881646669 | Shenika L. Marshall-hill | Counselor | 1594 Beaufort Ave. S., Fairfax, SC 29827 | 2006-05-17 |
| 1588623540 | Rebecca Lynn Wilkes | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2006-03-20 |
| 1497745012 | Robert M Haberkorn | Dentist | 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 | 2005-10-25 |
| 1588815021 | James Robert Mynatt | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2008-10-02 |
| 1063607646 | Mol Ky | General Practice | 333 Revolutionary Trail, Fairfax, SC 29827 | 2007-09-07 |
| 1053475566 | Low Country Health Care System, Inc | Pharmacy | 333 Revolutionary Trail, Farifax, SC 29827 | 2006-12-20 |
| Find all providers in zip 29827 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376554006 | Fairfax Healthcare Properties,llc | General Acute Care Hospital | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2006-08-10 |
| 1609866912 | Allendale County Hospital Board | General Acute Care Hospital | 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | 2005-10-27 |
| 1295362564 | Rural Wellness Fairfax Inc | General Acute Care Hospital | 40 Hospital Rd, Fairfax, OK 74637-5084 | 2020-03-25 |
| 1538125570 | Community Hospital Association | General Acute Care Hospital | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-04-26 |
| 1942279500 | Community Hospital Association | General Acute Care Hospital | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871923854 | Gail Turner | General Acute Care Hospital | 5000 Thurmond Mall Ste 207, Columbia, SC 29201-2374 | 2013-11-12 |
| 1295161420 | Medical University of South Carolina | General Acute Care Hospital | 8792 Shadowglen Dr, North Charleston, SC 29420-8358 | 2013-09-19 |
| 1417110032 | Edgefield County Hospital | General Acute Care Hospital | 155 Ridge Medical Plaza, Suite B, Egefield, SC 29824-4535 | 2008-07-03 |
| 1033322144 | Springs Memorial Hospital | General Acute Care Hospital | 800 W. Meeting Street, Lancaster, SC 29720 | 2007-05-07 |
| 1386604726 | Fairfield Memorial Hospital | General Acute Care Hospital | 102 Us Highway 321 Byp N, Winnsboro, SC 29180-9251 | 2006-03-27 |
| 1023080439 | Edgefield County Hospital | General Acute Care Hospital | 300 Ridge Medical Plaza, Edgefield, SC 29824-0590 | 2006-02-02 |
| 1639653751 | Self Regional Healthcare Partners | General Acute Care Hospital | 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 | 2018-09-25 |
| 1508340795 | Self Regional Healthcare Partners | General Acute Care Hospital | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1417481151 | Greenville Health System | General Acute Care Hospital | 701 Grove Rd, Greenville, SC 29605-4210 | 2017-04-19 |
| 1487729547 | Williamsburg Regional Hospital | General Acute Care Hospital | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2006-11-22 |
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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.