COASTAL CAROLINA HOSPITAL – NPI #1740444967
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

COASTAL CAROLINA HOSPITAL is a provider located in HARDEEVILLE, SC. NPPES has assigned the NPI number 1740444967 to COASTAL CAROLINA HOSPITAL on July 16, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COASTAL CAROLINA HOSPITAL” 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 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

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 HOSPITAL below.

NPI Profile for
COASTAL CAROLINA MEDICAL CENTER, INC.

NPI Number
1740444967
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 HOSPITAL
Primary location
1000 MEDICAL CENTER DR
HARDEEVILLE, SC 29927-3446
Phone: (843) 784-8000 Fax:
Mailing address
PO BOX 741261
ATLANTA, GA 30374-1261
Phone: (615) 372-8500 Fax:
Organization Subpart
Yes - COASTAL CAROLINA HOSPITAL is subpart of another organization.
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.

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
207PE0004X
- Emergency Medicine / Emergency Medical Services (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 CENTER DR,
HARDEEVILLE, SC 77025-1669