Basic Information
| Provider Information | |||||||||
| NPI: | 1316955875 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AIKEN REGIONAL MEDICAL CENTERS LLC | ||||||||
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| OtherOrganizationName: | AIKEN REGIONAL MEDICAL CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1117 | ||||||||
| Address2: | |||||||||
| City: | AIKEN | ||||||||
| State: | SC | ||||||||
| PostalCode: | 298016302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8036415000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 302 UNIVERSITY PARKWAY | ||||||||
| Address2: | |||||||||
| City: | AIKEN | ||||||||
| State: | SC | ||||||||
| PostalCode: | 298016302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8036415000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2006 | ||||||||
| LastUpdateDate: | 01/24/2022 | ||||||||
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| AuthorizedOfficialLastName: | FILTON | ||||||||
| AuthorizedOfficialFirstName: | STEVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO, SENIOR VP | ||||||||
| AuthorizedOfficialTelephone: | 6107683300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246Z00000X | HTL-152 | SC | Y | 193400000X SINGLE SPECIALTY GROUP | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other |
ID Information
| ID | Type | State | Issuer | Description | 400827 | 05 | SC | MEDICAID |