Provider Demographics
NPI:1518196260
Name:BARNWELL COUNTY HOSPITAL
Entity Type:Organization
Organization Name:BARNWELL COUNTY HOSPITAL
Other - Org Name:BLACKVILLE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:H
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-541-4173
Mailing Address - Street 1:22 GARDNER RD
Mailing Address - Street 2:PO BOX 247
Mailing Address - City:BLACKVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29817-3126
Mailing Address - Country:US
Mailing Address - Phone:803-284-2041
Mailing Address - Fax:803-284-5516
Practice Address - Street 1:22 GARDNER RD
Practice Address - Street 2:
Practice Address - City:BLACKVILLE
Practice Address - State:SC
Practice Address - Zip Code:29817-3126
Practice Address - Country:US
Practice Address - Phone:803-284-2041
Practice Address - Fax:803-284-5516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGPO0847Medicaid
SC2926Medicare PIN