Mid-Carolina Hospital Group, LLC
General Acute Care Hospital in Lake City, SC. Organization (NPI-2).
NPI number1962522326
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1962522326
- Entity type
- Organization (NPI-2)
- Legal business name
- Mid-Carolina Hospital Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2007
- Last updated
- Aug 22, 2020
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | HTL897 | SC | Yes |
Other names
- Lake City Community Hospital (Doing Business As)
Practice location
258 N Ron McNair BlvdLake City, SC 29560-2462
Phone 843-374-2036 · Fax 843-374-5111
Mailing address
3400 West AveColumbia, SC 29203-6901
Phone 808-799-1700 · Fax 803-254-3678
Authorized official
Tony R Megna
Ceo
8037991700
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