MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC NPI 1154371433

NPI Information

NPI: 1154371433
Provider Name: MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC

Doing Business As: CBO MRMC EMERGENCY

Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
555 E CHEVES ST
FLORENCE, SC
ZIP 29506
Phone: (843) 777-2000
Get Directions

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC is an emergency medical services emergency medicine in Florence, SC. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC NPI is 1154371433. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cbo Mrmc Emergency.

The provider's business location address is:

555 E CHEVES ST
FLORENCE, SC
ZIP 29506-617
Phone: (843) 777-2000
Fax: (843) 777-5035

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

The CLIA number assigned to this NPI record is 42D2105728 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 10/29/2019.

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	Primary
1	103T00000X	Psychologist		No
2	133V00000X	Dietitian, Registered		No
3	207R00000X	Internal Medicine		No
4	207RC0200X	Internal Medicine	Critical Care Medicine	No
5	207RH0003X	Internal Medicine	Hematology & Oncology	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
7	367500000X	Nurse Anesthetist, Certified Registered		No
8	207PE0004X	Emergency Medicine	Emergency Medical Services	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	400514	MEDICAID	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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