NPIMap

Organization Active NPI

Loris Community Hospital District

  • Rural Health Clinic/Center
  • Loris, SC
National Provider Identifier
1306922646
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
HTL033 Issued in SC
Legal business name
LORIS COMMUNITY HOSPITAL DISTRICT
Practice address
3204 Casey St
Loris, SC 29569
Phone
(843) 716-7270
Fax
(843) 756-9260
NPI assigned
Oct 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Fred O Todd
Title
Senior Vice President/Cfo
Phone
(843) 716-7520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X HTL033 SC Primary

Addresses

Primary practice location

3204 Casey St
Loris, SC 29569

Mailing address

3655 Mitchell St
Box 690001
Loris, SC 29569-9601
Phone (843) 716-7270

Other identifiers 1

IdentifierTypeStateIssuer
RHC041MedicaidSC

Other names 1

  • LORIS FAMILY HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1306922646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 MITCHELL ST",
            "address_2": "BOX 690001",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295699601",
            "telephone_number": "843-716-7270",
            "fax_number": "843-756-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 CASEY ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "29569",
            "telephone_number": "843-716-7270",
            "fax_number": "843-756-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "843-716-7520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "HTL033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC041",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LORIS FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.