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PEACH TREE MEDICAL CENTER
NPI 1417110032
Clinic/Center - Rural Health in Egefield, SC

Active since July 03, 2008
155 RIDGE MEDICAL PLAZA, SUITE B, EGEFIELD, SC 29824(803) 637-3630(803) 637-5348 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peach Tree Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACH TREE MEDICAL CENTER (NPI 1417110032) is a healthcare organization registered as a rural health in Egefield, South Carolina and active in the NPI registry since July 2008. The organization lists Jennifer W Johnson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417110032
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEDGEFIELD COUNTY HOSPITAL
Location Address155 RIDGE MEDICAL PLAZA, SUITE BEgefield, SC 29824-4535
Mailing Address155 Ridge Medical Plaza, Suite BEdgefield, SC 29824-4535 · (803) 637-3630 · Fax (803) 637-5348
Phone(803) 637-3630
Fax(803) 637-5348
Organization SubpartYes
Authorized OfficialJennifer W JohnsonOffice Manager · (803) 637-3630
Enumeration DateJuly 3, 2008
Last NPPES UpdateJanuary 22, 2018
✔ NPI 1417110032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in SC · HTL479
Also ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X · License HTL479 (SC)
155 RIDGE MEDICAL PLAZA, Egefield, SC 29824
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Other Names 1

Doing Business AsPeach Tree Medical Center

Other Identifiers 1

MedicaidRHC548SC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgefield County Hospital's NPI number?

The NPI number for Edgefield County Hospital is 1417110032. It was assigned to this organization in the NPPES registry on July 3, 2008. The provider is doing business as Peach Tree Medical Center.

Where is Edgefield County Hospital located?

Edgefield County Hospital is located at 155 Ridge Medical Plaza Suite B, Egefield, SC 29824. The listed phone number is (803) 637-3630.

What is Edgefield County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Edgefield County Hospital was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.