Coastal Carolina Medical Center, Inc.

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

HTL-902 Issued in SC

Legal business name

COASTAL CAROLINA MEDICAL CENTER, INC.

Doing business as

Coastal Carolina Hospital- Rehabilitation Unit

Practice address

1000 Medical Center Dr
Hardeeville, SC 29927-3446

Phone

(843) 784-8000

Fax

(843) 784-8001

NPI assigned

Nov 16, 2006

Last updated

Mar 22, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL CAROLINA HOSPITAL, INC.As reported in NPPES

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

Authorized official

Name

Ron Groteluschen

Title

Cfo

Phone

(843) 784-8076

Specialties & licenses 1

Addresses

Other names 1

• Coastal Carolina Hospital- Rehabilitation Unit Doing business as

Electronic endpoints 1

Part of

Coastal Carolina Med Ctr

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1396818209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741261",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741261",
            "telephone_number": "615-372-8500",
            "fax_number": "615-372-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273446",
            "telephone_number": "843-784-8000",
            "fax_number": "843-784-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL CAROLINA HOSPITAL, INC.",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "GROTELUSCHEN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-784-8076"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "SC",
            "license": "HTL-902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CCD@Direct.Hub4.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Medical Center Dr",
            "city": "Hardeeville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299273446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coastal Carolina Hospital- Rehabilitation Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Carolina Hospital- Rehabilitation Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Hospital Unit in Hardeeville, SC
• Providers in Hardeeville, SC by specialty
• Rehabilitation Hospital Unit in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.