1710983242 NPI number — ISLAND HEALTH CARE, INC

Table of content: (NPI 1710983242)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710983242 NPI number — ISLAND HEALTH CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ISLAND HEALTH CARE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710983242
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8011
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAVANNAH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31412-8011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-629-2727
Provider Business Mailing Address Fax Number:
912-234-1718

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 NEW RIVER PKWY STE 7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARDEEVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29927-4575
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-629-2727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/21/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BOLCH
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
912-629-2727

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HHA111 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 470519 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".