MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE (MCLEOD REGIONAL MEDICAL CENTER) - NPI NUMBER 1699756221

Summary

Provider Name: MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE (MCLEOD REGIONAL MEDICAL CENTER)

NPI Number: 1699756221

Clasification: General Acute Care Hospital (282N00000X)

Address:
555 E CHEVES ST
FLORENCE, SC
ZIP 29506

Phone Number: (843) 777-4402



Detailed Information

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE is a general acute care hospital in Florence, SC. The provider is 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. The assigned NPI number for this provider is 1699756221 and is registered as an organization entity type.
The provider Other Name Is Mcleod Regional Medical Center.

The provider's business address is:

555 E CHEVES ST
FLORENCE, SC
ZIP 29506-617
Phone: (843) 777-4402
Fax: (843) 777-5249

The provider's authorized official is David G Gasque .
The authorized official title is Patient Accounts Manager and has the following contact phone number (843) 777-4402.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 10/2/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1720357312 TOTAL CARE NURSING AGENCY
General Acute Care Hospital
1881033595 MCLEOD REGIONAL HEALTH CENTER
General Acute Care Hospital
1548468473 DR. JANE CATHERINE CUSTY, M.D.
General Acute Care Hospital
1235183328 QHG OF SOUTH CAROLINA INC
General Acute Care Hospital

Taxonomy Codes

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 282N00000X General Acute Care Hospital HTL-384 SC Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 420051 MEDICARE OSCAR/CERTIFICATION SC
2 000106202A MEDICAID GA
3 094184100 MEDICAID FL
4 MCL0051N MEDICAID AL
5 4210301 MEDICAID NJ
6 459938 MEDICAID SC
7 =========001 OTHER SC BCBS
8 4200051 MEDICAID NC
9 334441 MEDICAID SC

NPI Record

No. Field Name Field Value
1 NPI 1699756221
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE
5 Provider Other Organization Name MCLEOD REGIONAL MEDICAL CENTER
6 Provider Other Organization Name Type Code 5
7 Provider First Line Business Practice Location Address 555 E CHEVES ST
8 Provider Business Practice Location Address City Name FLORENCE
9 Provider Business Practice Location Address State Name SC
10 Provider Business Practice Location Address Postal Code 295062617
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8437774402
13 Provider Business Practice Location Address Fax Number 8437775249
14 Provider Enumeration Date 11/10/2005
15 Last Update Date 10/2/2012
16 Authorized Official Last Name GASQUE
17 Authorized Official First Name DAVID
18 Authorized Official Middle Name G
19 Authorized Official Title or Position PATIENT ACCOUNTS MANAGER
20 Authorized Official Telephone Number 8437774402
21 Healthcare Provider Taxonomy Code 1 282N00000X
22 Provider License Number 1 HTL-384
23 Provider License Number State Code 1 SC
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 420051
26 Other Provider Identifier Type Code 1 06
27 Other Provider Identifier State 1 SC
28 Other Provider Identifier 2 000106202A
29 Other Provider Identifier Type Code 2 05
30 Other Provider Identifier State 2 GA
31 Other Provider Identifier 3 094184100
32 Other Provider Identifier Type Code 3 05
33 Other Provider Identifier State 3 FL
34 Other Provider Identifier 4 MCL0051N
35 Other Provider Identifier Type Code 4 05
36 Other Provider Identifier State 4 AL
37 Other Provider Identifier 5 4210301
38 Other Provider Identifier Type Code 5 05
39 Other Provider Identifier State 5 NJ
40 Other Provider Identifier 6 459938
41 Other Provider Identifier Type Code 6 05
42 Other Provider Identifier State 6 SC
43 Other Provider Identifier 7 =========001
44 Other Provider Identifier Type Code 7 01
45 Other Provider Identifier State 7 SC
46 Other Provider Identifier Issuer 7 BCBS
47 Other Provider Identifier 8 4200051
48 Other Provider Identifier Type Code 8 05
49 Other Provider Identifier State 8 NC
50 Other Provider Identifier 9 334441
51 Other Provider Identifier Type Code 9 05
52 Other Provider Identifier State 9 SC
53 Is Organization Subpart N
54 Authorized Official Name Prefix Text MR.

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.