COASTAL CAROLINA MEDICAL CENTER-ED PHYSICIANS – NPI #1538316575
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

COASTAL CAROLINA MEDICAL CENTER-ED PHYSICIANS is a provider located in HARDEEVILLE, SC. NPPES has assigned the NPI number 1538316575 to COASTAL CAROLINA MEDICAL CENTER-ED PHYSICIANS on August 21, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COASTAL CAROLINA MEDICAL CENTER-ED PHYSICIANS” is a dba name, the actual legal business name for this organization is COASTAL CAROLINA MEDICAL CENTER INC. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 4 years ago on Mar 22, 2022. 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 COASTAL CAROLINA MEDICAL CENTER-ED PHYSICIANS below.

NPI Profile for
COASTAL CAROLINA MEDICAL CENTER INC

NPI Number
1538316575
Enumeration Date

(about 18 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
COASTAL CAROLINA MEDICAL CENTER INC
Doing Business As (dba): COASTAL CAROLINA MEDICAL CENTER-ED PHYSICIANS
Primary location
1000 MEDICAL DRIVE
HARDEEVILLE, SC 29927
Phone: (843) 784-8000 Fax:
Mailing address
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone: (800) 875-0136 Fax: (937) 619-4342
Organization Subpart
No
Authorized Official
RON GROTELUSCHEN
CFO
Phone: (843) 784-8076
Updated
Certification Date
Mar 22, 2022

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.

Identifiers

Identifiers for COASTAL CAROLINA MEDICAL CENTER-ED PHYSICIANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP4209
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
207P00000X
- Emergency Medicine (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT EMAIL
Content Type
Affiliation
N
Endpoint Location
1000 MEDICAL DRIVE,
HARDEEVILLE, SC 77025-1669