OrganizationActive
Allendale County Hospital Board
NPI 1336246677 · Skilled Nursing Facility · Fairfax, SC
Provider details
- NPI number
- 1336246677
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Allendale County Hospital
- Organization subpart
- Yes
- Authorized official
- Ken Hiatt, Administrator(803) 632-3311
- License
- NCF-259 (SC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
185 Revolutionary Trail
Fairfax, SC 29827
Phone: (803) 632-3311
Fax: (803) 632-3415
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 218
Fairfax, SC 29827-0218
Other names (DBA / former)
- Doing business as
- John Edward Harter Nursing Center
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2012-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.