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ALLENDALE COUNTY HOSPITAL
NPI 1609866912
General Acute Care Hospital in Fairfax, SC

Active since October 27, 2005
1787 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827(803) 632-3311(803) 632-3415 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Allendale County Hospital NPPES

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

ALLENDALE COUNTY HOSPITAL (NPI 1609866912) is a healthcare organization registered as a general acute care hospital in Fairfax, South Carolina and active in the NPI registry since October 2005. The organization lists Teresa H Hicks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609866912
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameALLENDALE COUNTY HOSPITAL BOARD
Location Address1787 ALLENDALE FAIRFAX HWYFairfax, SC 29827-9133
Mailing Address1787 Allendale Fairfax Hwy, P. O. Box 218Fairfax, SC 29827-9133 · (803) 632-3311 · Fax (803) 632-3415
Phone(803) 632-3311
Fax(803) 632-3415
Organization SubpartYes
Authorized OfficialTeresa H HicksCfo · (803) 632-3311
Enumeration DateOctober 27, 2005
Last NPPES UpdateApril 23, 2019
✔ NPI 1609866912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X · License HTL-041 (SC)
1787 ALLENDALE FAIRFAX HWY, Fairfax, SC 29827
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Other Names 1

Doing Business AsAllendale County Hospital

Other Identifiers 3

Medicaid100895SC
Medicaid300958SC
Medicaid3389SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allendale County Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Allendale County Hospital, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology58
Nurse Practitioner2
Emergency Medicine1
Family Practice1

Nearest to this location (20)

See all 62
Thomas Bair, MD
Emergency Medicine
NPI 1669566501
1787 ALLENDALE FAIRFAX HWY
Fairfax, SC 29827
(803) 632-3311
✔ PECOS0.8 mi
Allison Stanley, M.S.N.,A.C.N.P.
Nurse Practitioner
NPI 1972571180
1787 ALLENDALE FAIRFAX HWY
Fairfax, SC 29827
(803) 632-3421
✔ PECOS1.6 mi
Nancy Young, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1184213134
623 MEMORIAL AVE N
Allendale, SC 29810
(803) 584-2128
✔ PECOS✔ Accepts Medicare6.3 mi
Luis Vega, M. D.
Family Practice
NPI 1033119854
300 MAPLE ST W
Hampton, SC 29924
(803) 943-3813
✔ PECOS✔ Accepts Medicare8.8 mi
Blake Poleynard, MD
Diagnostic Radiology
NPI 1508865510
1 INDEPENDENCE PT SUITE 212
Greenville, SC 29615
(864) 797-6015
✔ PECOS144 mi
Diane Conley, MD
Diagnostic Radiology
NPI 1528032604
3815 STONEY RIDGE TRL
Charlotte, NC 28210
(952) 595-1100
✔ PECOS✔ Accepts Medicare152 mi
Logan Bisset
Diagnostic Radiology
NPI 1356760276
2301 ERWIN ROAD
Durham, NC 27710
(919) 684-7293
✔ PECOS✔ Accepts Medicare248 mi
Divyang Patel, M. D.
Diagnostic Radiology
NPI 1891785978
1106 DRUID RD S SUITE 302
Clearwater, FL 33756
(727) 441-3711
✔ PECOS✔ Accepts Medicare357 mi
Zarana Trivedi, DO
Diagnostic Radiology
NPI 1902398266
1585 3RD ST
Fort Johnson, LA 71459
(337) 531-3376
✔ PECOS✔ Accepts Medicare715 mi
Alexander Harvin, M.D.
Diagnostic Radiology
NPI 1295097970
4000 COCHRANE PKWY
Ames, IA 50014
(515) 509-9956
✔ PECOS✔ Accepts Medicare925 mi
Navid Ardakani, MD
Diagnostic Radiology
NPI 1669512760
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS✔ Accepts Medicare1,047 mi
Karen Caldemeyer, MD
Diagnostic Radiology
NPI 1679511356
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS✔ Accepts Medicare1,047 mi
Michael Cobb, MD
Diagnostic Radiology
NPI 1932170131
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS✔ Accepts Medicare1,047 mi
Allen Katz, MD
Diagnostic Radiology
NPI 1689622094
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS1,047 mi
Christopher Lawton, M.D.
Diagnostic Radiology
NPI 1285673293
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS✔ Accepts Medicare1,047 mi
Desiree Lerro, DO
Diagnostic Radiology
NPI 1881680791
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS✔ Accepts Medicare1,047 mi
Cierra Mcnair, M.D.
Diagnostic Radiology
NPI 1871972786
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS✔ Accepts Medicare1,047 mi
David Moon, M.D.
Diagnostic Radiology
NPI 1548213812
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1100
✔ PECOS1,047 mi
Serge Somrov, MD
Diagnostic Radiology
NPI 1346462629
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1301
✔ PECOS✔ Accepts Medicare1,047 mi
Steven Zwerdlinger, M.D.
Diagnostic Radiology
NPI 1790737328
3600 MINNESOTA DR STE 800
Minneapolis, MN 55435
(952) 595-1301
✔ PECOS✔ Accepts Medicare1,047 mi
See all 62 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Allendale County Hospital Board's NPI number?

The NPI number for Allendale County Hospital Board is 1609866912. It was assigned to this organization in the NPPES registry on October 27, 2005. The provider is doing business as Allendale County Hospital.

Where is Allendale County Hospital Board located?

Allendale County Hospital Board is located at 1787 Allendale Fairfax Hwy, Fairfax, SC 29827. The listed phone number is (803) 632-3311.

What is Allendale County Hospital Board's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Allendale County Hospital Board enrolled in Medicare?

Yes. Allendale County Hospital Board is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allendale County Hospital Board?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 4 Medicare specialties reassign their Medicare billing to Allendale County Hospital Board. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (58), Nurse Practitioner (2) and Emergency Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allendale County Hospital Board accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Allendale County Hospital Board as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allendale County Hospital Board was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.