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Coastal Carolina Medical Center, Inc

Rural Health Clinic/Center in Ridgeland, SC · enumerated 2011 · authorized official Ron Groteluschen, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124307509

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Carolina Medical Center, Inc
Other name <Unavail>
Practice address 10911 N Jacob Smart Blvd, D, Ridgeland, SC, 29936
Fax (843) 784-5313
Enumeration date Aug 16, 2011
Last updated in NPPES Mar 22, 2022

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ron Groteluschen
Title Cfo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-03-22. Verify at npiregistry.cms.hhs.gov.
Where is Coastal Carolina Medical Center, Inc located?
The practice location on file with NPPES is in Ridgeland, SC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-22.