CHESTERFIELD MARLBORO LP NPI 1407978190

NPI Information

NPI: 1407978190
Provider Name: CHESTERFIELD MARLBORO LP

Doing Business As: MARLBORO PRIMARY CARE ASSOCIATES

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1040 MARLBORO WAY
SUITE 1
BENNETTSVILLE, SC
ZIP 29512
Phone: (843) 479-5890
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CHESTERFIELD MARLBORO LP is a rural health clinic center in Bennettsville, SC. CHESTERFIELD MARLBORO LP NPI is 1407978190. The provider is registered as an organization entity type.
The provider Is Doing Business As Marlboro Primary Care Associates.

The provider's business location address is:

1040 MARLBORO WAY
SUITE 1
BENNETTSVILLE, SC
ZIP 29512-494
Phone: (843) 479-5890
Fax: (843) 479-5893

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 9/28/2011.

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
1	261QR1300X	Clinic/Center	Rural Health			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	423406	MEDICARE OSCAR/CERTIFICATION	SOUTH CAROLINA
2	RHC529	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: 5/5/2024

NPI Synchronization or Removal

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