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MCLEOD PHYSICIAN ASSOCIATES II NPI 1104035492


NPI Information

NPI: 1104035492
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: MCLEOD URGENT CARE CENTER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 42D1075873

Address:
3015 WEST PALMETTO STREET
FLORENCE, SC
ZIP 29501
Phone: (843) 777-6870
Get Directions

MCLEOD PHYSICIAN ASSOCIATES II is an urgent care clinic center in Florence, SC. MCLEOD PHYSICIAN ASSOCIATES II NPI is 1104035492. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcleod Urgent Care Center.

The provider's business location address is:

3015 WEST PALMETTO STREET
FLORENCE, SC
ZIP 29501-935
Phone: (843) 777-6870
Fax: (843) 777-6871

The provider's authorized official is Kenneth D. Beasley .
The authorized official title is Senior Vice President and has the following contact phone number (843) 777-7010.

The CLIA number assigned to this NPI record is 42D1075873 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 6/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP4808MEDICAIDSOUTH 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: 4/28/2024

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.