Provider Demographics
NPI:1033322144
Name:SPRINGS MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:SPRINGS MEMORIAL HOSPITAL
Other - Org Name:LANCASTER RECOVERY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FONGHEISER
Authorized Official - Suffix:
Authorized Official - Credentials:MA,MS, LCAS,CAC-II
Authorized Official - Phone:803-286-1794
Mailing Address - Street 1:800 W. MEETING STREET
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720
Mailing Address - Country:US
Mailing Address - Phone:803-286-1794
Mailing Address - Fax:803-286-1374
Practice Address - Street 1:800 W. MEETING STREET
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720
Practice Address - Country:US
Practice Address - Phone:803-286-1794
Practice Address - Fax:803-286-1374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access