Loris Community Hospital District

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

HTL033 Issued in SC

Legal business name

LORIS COMMUNITY HOSPITAL DISTRICT

Doing business as

Loris Healthcare System

Practice address

3655 Mitchell Street
Loris, SC 29569-9601

Phone

(843) 716-7596

Fax

(843) 716-7093

NPI assigned

Jan 30, 2006

Last updated

Jan 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fred O Todd

Title

Sr VP Cfo

Phone

(843) 716-7271

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Loris Healthcare System Doing business as

Locations

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1639140445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 MITCHELL ST, BOX 690001",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295699601",
            "telephone_number": "843-716-7596",
            "fax_number": "843-716-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 MITCHELL STREET",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295699601",
            "telephone_number": "843-716-7596",
            "fax_number": "843-716-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "843-716-7271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400649",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNC",
            "identifier": "0006Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298023",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4200064",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6907689",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171505",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loris Healthcare System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loris Community Hospital District (Loris Extended Care Center)
• Loris Community Hospital District (Loris Healthcare System)
• Loris Community Hospital District (Seacoast Pulmonology and Critical Care Associates)
• Loris Community Hospital District (Loris Family Health Center)
• Loris Community Hospital District (DBA Southern Medical Associates)
• Loris Drug Company LLC (Loris Drug Store)
• Loris Drug Store, Inc.
• Loris Drug Store, Inc.
• Loris Eye Associates PC
• Loris Family Dentistry, LLC

• General Acute Care Hospital in Loris, SC
• Providers in Loris, SC by specialty
• General Acute Care Hospital in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.