GEORGETOWN MEMORIAL HOSPITAL (NPI# 1548457534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548457534 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN MEMORIAL HOSPITAL |
| Other Organization Name | TIDELANDS HEALTH PEDIATRIC REHABILITATION SERVICES AT MYRTLE BEACH |
| Practice Address |
3515 Caduceus Dr Suite A Myrtle Beach SC 29588-2922 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8432937085 |
| Mailing Telephone | 8432937085 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | ELIZABETH WARD (EXECUTIVE VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 8435277102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NEXT STEP PEDIATRIC REHAB - AZALEA LAKES | Doing Business As Name - Organization |
| Rehabilitation Services at Myrtle Beach | Doing Business As Name - Organization |
| Tidelands Health Pediatric Rehabilitation Services at Myrtle Beach | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1023346681 | Georgetown Memorial Hospital | Clinic/Center | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2009-11-19 |
| 1982604021 | Georgetown Memorial Hospital | General Acute Care Hospital | 606 Black River Rd, Georgetown, SC 29440-3304 | 2005-07-29 |
| Street Address |
3515 CADUCEUS DR SUITE A |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164619383 | Holly May | Speech-Language Pathologist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-10-02 |
| 1235599465 | Alyssa Denneny | Occupational Therapist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2016-03-01 |
| 1487882858 | Amanda Danielle Pittman | Speech-Language Pathologist | 3515 Caduceus Dr, Myrtle Beach, SC 29588-2922 | 2009-06-24 |
| 1295979508 | Gena Darby Howlett | Physical Therapist | 3515 Caduceus Dr, Suite E, Myrtle Beach, SC 29588-2922 | 2009-04-30 |
| 1891975025 | Heather Smith | Occupational Therapist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-11-05 |
| 1053509182 | Karyn Longo Congdon | Physical Therapist | 3515 Caduceus Dr, Ste A, Myrtle Beach, SC 29588-2922 | 2007-10-15 |
| 1861689812 | Summer H Butler | Speech-Language Pathologist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-10-03 |
| 1437346533 | Lindsay Smith Steelman | Occupational Therapist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-10-02 |
| 1568659654 | Christy L Corbin | Physical Therapist | 3515 Caduceus Dr, Myrtle Beach, SC 29588-2922 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1578791489 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 210 Village Center Blvd Ste 100, Myrtle Beach, SC 29579-6683 | 2009-06-30 |
| 1790302115 | Hope Physical Therapy, LLC | Clinic/Center | 5900 N Kings Hwy Ste E, Myrtle Beach, SC 29577-2326 | 2020-07-01 |
| 1124673793 | Georgetown Physician Associates, LLC | Clinic/Center | 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577-1663 | 2019-08-09 |
| 1396241865 | Par Pt, LLC | Clinic/Center | 4125 Dick Pond Rd, Myrtle Beach, SC 29588-6807 | 2018-04-03 |
| 1306074885 | Rivertown Lymphedema Clinic and Rehab, LLC | Clinic/Center | 100 Prather Park Dr, Suite A, Myrtle Beach, SC 29588-7910 | 2009-06-23 |
| 1750328027 | Clemson Sports Medicine and Rehabilitation Inc | Clinic/Center | 8161 Rourk St, Strand Therapy Inc, Myrtle Beach, SC 29572-4128 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
| 1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
| 1518430339 | Mary Mattis P T Inc | Clinic/Center | 465 Greenwich Dr, Aiken, SC 29803-6541 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
Please comment or provide details below to improve the information on GEORGETOWN MEMORIAL HOSPITAL.
| 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.