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Self Regional Healthcare

General Acute Care Hospital in Clinton, SC. Organization (NPI-2).

NPI number1356249031
StatusActive
Last updated in NPPESOct 30, 2026

Details

NPI
1356249031
Entity type
Organization (NPI-2)
Legal business name
Self Regional Healthcare
Organization subpart
No
Enumeration date
Oct 30, 2026
Certification date
Oct 30, 2026
Last updated
Oct 30, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital––Yes

Other names

  • Pain Management Laurens (Doing Business As)

Practice location

23013 Highway 76 E Ste C
Clinton, SC 29325-7530

Phone 864-358-5955 · Fax 864-358-5950

Mailing address

104 Wells Ave
Greenwood, SC 29646-3837

Phone 864-725-4673

Authorized official

Matthew Tolbert Logan
President & Ceo
8647254780

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Acute Care Hospital providers in Clinton, SC

All 9 General Acute Care Hospital providers in Clinton · All 409 providers in Clinton

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