EDGEFIELD COUNTY HEALTHCARE, AN AFFILIATE OF SELF REGIONAL HEALTHCARE – NPI #1922582105
General Acute Care Hospital

EDGEFIELD COUNTY HEALTHCARE, AN AFFILIATE OF SELF REGIONAL HEALTHCARE is a general acute care hospital located in EDGEFIELD, SC. NPPES has assigned the NPI number 1922582105 to EDGEFIELD COUNTY HEALTHCARE, AN AFFILIATE OF SELF REGIONAL HEALTHCARE on September 24, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EDGEFIELD COUNTY HEALTHCARE, AN AFFILIATE OF SELF REGIONAL HEALTHCARE” is a dba name, the actual legal business name for this organization is SELF REGIONAL HEALTHCARE PARTNERS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 4 years ago on Dec 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGEFIELD COUNTY HEALTHCARE, AN AFFILIATE OF SELF REGIONAL HEALTHCARE below.

NPI Profile for
SELF REGIONAL HEALTHCARE PARTNERS

NPI Number
1922582105
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SELF REGIONAL HEALTHCARE PARTNERS
Doing Business As (dba): EDGEFIELD COUNTY HEALTHCARE, AN AFFILIATE OF SELF REGIONAL HEALTHCARE
Primary location
300 RIDGE MEDICAL PLAZA RD
EDGEFIELD, SC 29824-4525
Phone: (803) 637-3174 Fax: (803) 637-0200
Mailing address
1325 SPRING ST
GREENWOOD, SC 29646-3860
Phone: (864) 725-4111 Fax: (864) 725-7424
Organization Subpart
No
Authorized Official
MATTHEW LOGAN
PRESIDENT AND CEO
Phone: (864) 725-4253
Updated
Certification Date
Dec 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
2085R0202X
- Radiology / Diagnostic Radiology
207Q00000X
- Family Medicine
207P00000X
- Emergency Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.