Provider Demographics
NPI:1265437297
Name:BARNWELL COUNTY HOSPITAL
Entity type:Organization
Organization Name:BARNWELL COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALTMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:803-541-4161
Mailing Address - Street 1:811 REYNOLDS ROAD
Mailing Address - Street 2:
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-1573
Mailing Address - Country:US
Mailing Address - Phone:803-541-4161
Mailing Address - Fax:803-541-4160
Practice Address - Street 1:811 REYNOLDS ROAD
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-1573
Practice Address - Country:US
Practice Address - Phone:803-541-4161
Practice Address - Fax:803-541-4160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHTL485208D00000X
SC485282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
42U016OtherMEDICARE SWINGBED
SC244338Medicaid
SC400168Medicaid
SC430188Medicaid
SC400168Medicaid
3130Medicare PIN