| Loris Healthcare System | |
|
3655 Mitchell Street Loris SC 29569-9601 | |
| (843) 716-7596 | |
| (843) 716-7093 |
| Full Name | Loris Healthcare System |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 3655 Mitchell Street, Loris, South Carolina |
| Authorized Official Name and Position | Fred O Todd (SR VP CFO) |
| Authorized Official Contact | 8437167271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loris Healthcare System 3655 Mitchell St, Box 690001 Loris SC 29569-9601 Ph: (843) 716-7596 | Loris Healthcare System 3655 Mitchell Street Loris SC 29569-9601 Ph: (843) 716-7596 |
| NPI Number | 1639140445 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639140445 | NPI | - | NPPES |
| 6907689 | Medicaid | NC | |
| 171505 | Medicaid | SC | |
| 0006Y | Other | NC | BCNC |
| 4200064 | Medicaid | NC | |
| 298023 | Medicaid | SC | |
| 400649 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | HTL033 (South Carolina) | Primary |
Southern Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 | |
Mcleod Dialysis Access Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3112 Casey St, Loris, SC 29569 Phone: 843-716-8940 Fax: 843-716-9760 | |
Southern Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 | |
Better Days Health & Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Hwy 9 Business E, Loris, SC 29569 Phone: 843-892-0007 | |
Mcleod Loris Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3109 Casey St, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 | |
Barrett Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3109 Casey St, Suite B, Loris, SC 29569 Phone: 843-756-8090 Fax: 843-756-6122 | |
Loris Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3204 Casey St, Loris, SC 29569 Phone: 843-716-7270 Fax: 843-756-9260 |