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
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Doing Business As: CBO MRMC EMERGENCY
  • CLIA Number: 42D2137176
  • Address: 555 E CHEVES ST
    FLORENCE, SC
    ZIP 29506
  • Phone: (843) 777-2000

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NPI Details

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 42D2137176 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/19/2024.

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
1103T00000XPsychologistNo
2133V00000XDietitian, RegisteredNo
3207PE0004XEmergency MedicineEmergency Medical ServicesYes
4207Q00000XFamily MedicineNo
5207R00000XInternal MedicineNo
6207RC0200XInternal MedicineCritical Care MedicineNo
7207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
8207RG0100XInternal MedicineGastroenterologyNo
9207RH0003XInternal MedicineHematology & OncologyNo
10207RI0011XInternal MedicineInterventional CardiologyNo
112080P0205XPediatricsPediatric EndocrinologyNo
122084N0400XPsychiatry & NeurologyNeurologyNo
13363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
14367500000XNurse Anesthetist, Certified RegisteredNo

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
1400514MEDICAIDSOUTH 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: 3/30/2025

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