Provider Demographics
NPI:1043552763
Name:CANDLER HOSPITAL, INC.
Entity Type:Organization
Organization Name:CANDLER HOSPITAL, INC.
Other - Org Name:ST. JOSEPH'S CANDLER SC CANCER SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HINCHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-819-6000
Mailing Address - Street 1:5353 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6015
Mailing Address - Country:US
Mailing Address - Phone:912-819-6000
Mailing Address - Fax:
Practice Address - Street 1:45 HOSPITAL CENTER CMNS
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2837
Practice Address - Country:US
Practice Address - Phone:843-689-2895
Practice Address - Fax:843-689-9270
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CANDLER HOSPTIAL, INC D/B/A ST. JOSEPH'S CANDLER SC CANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13683333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy