MCLEOD HEALTH CLARENDON NPI 1003461773

NPI Information

  • NPI: 1003461773
  • Provider Name: MCLEOD HEALTH CLARENDON
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: MCLEOD FAMILY MEDICINE-TIMMONSVILLE
  • CLIA Number: 42D0929081
  • Address: 755 E SMITH ST
    TIMMONSVILLE, SC
    ZIP 29161
  • Phone: (843) 346-3900

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NPI Details

MCLEOD HEALTH CLARENDON is a rural health clinic center in Timmonsville, SC. MCLEOD HEALTH CLARENDON NPI is 1003461773. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcleod Family Medicine-timmonsville.

The provider's business location address is:

755 E SMITH ST
TIMMONSVILLE, SC
ZIP 29161-430
Phone: (843) 346-3900

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

The CLIA number assigned to this NPI record is 42D0929081 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/8/2019 and was last updated on 8/14/2019.

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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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
1RHC170MEDICAIDSOUTH CAROLINA
2RHC137MEDICAIDSOUTH CAROLINA
3GP1781MEDICAIDSOUTH CAROLINA
442-8962OTHERSOUTH CAROLINAPTAN

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: 3/30/2025

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