Provider Demographics
NPI:1164287678
Name:COMMUNITY HEALTH AND URGENT CARE LLC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH AND URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-617-8434
Mailing Address - Street 1:PO BOX 703
Mailing Address - Street 2:
Mailing Address - City:BETHUNE
Mailing Address - State:SC
Mailing Address - Zip Code:29009-0703
Mailing Address - Country:US
Mailing Address - Phone:843-517-9422
Mailing Address - Fax:
Practice Address - Street 1:3503 FREEMAN RD
Practice Address - Street 2:
Practice Address - City:BETHUNE
Practice Address - State:SC
Practice Address - Zip Code:29009-9343
Practice Address - Country:US
Practice Address - Phone:843-517-9422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care