Provider Demographics
NPI:1306378310
Name:LOW COUNTRY HEALTH CARE SYSTEM, INC
Entity Type:Organization
Organization Name:LOW COUNTRY HEALTH CARE SYSTEM, INC
Other - Org Name:BAMBERG SPECIALTY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARAINEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-632-2533
Mailing Address - Street 1:86 WREN ST
Mailing Address - Street 2:
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-1529
Mailing Address - Country:US
Mailing Address - Phone:803-259-5762
Mailing Address - Fax:803-259-3250
Practice Address - Street 1:185 MCGEE ST
Practice Address - Street 2:
Practice Address - City:BAMBERG
Practice Address - State:SC
Practice Address - Zip Code:29003-1154
Practice Address - Country:US
Practice Address - Phone:803-956-6100
Practice Address - Fax:803-245-4338
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOW COUNTRY HEALTH CARE SYSTEM, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-29
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)