MCLEOD MEDICAL CENTER-DILLON NPI 1124487541

NPI Information

NPI: 1124487541
Provider Name: MCLEOD MEDICAL CENTER-DILLON
Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

CLIA Number: 42D0251797

Address:
301 E JACKSON ST
DILLON, SC
ZIP 29536
Phone: (843) 774-4111
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MCLEOD MEDICAL CENTER-DILLON is a medicare defined swing bed unit in Dillon, SC. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. MCLEOD MEDICAL CENTER-DILLON NPI is 1124487541. The provider is registered as an organization entity type.

The provider's business location address is:

301 E JACKSON ST
DILLON, SC
ZIP 29536-509
Phone: (843) 774-4111

The provider's authorized official is Samuel Fulton Ervin .
The authorized official title is Sr. Vp & Cfo and has the following contact phone number (843) 777-2910.

The CLIA number assigned to this NPI record is 42D0251797 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/12/2016 and was last updated on 5/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	275N00000X	Medicare Defined Swing Bed Unit		HTL-0631	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C046NF	MEDICAID	SOUTH CAROLINA
2	0854SB	MEDICAID	SOUTH CAROLINA
3	42U005	OTHER	SOUTH CAROLINA	MEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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