MCLEOD HEALTH CHERAW NPI 1710532486

NPI Information

NPI: 1710532486
Provider Name: MCLEOD HEALTH CHERAW

Doing Business As: MCLEOD FAMILY MEDICINE-MARION

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

Specialization: Rural Health

Address:
3032 E HIGHWAY 76
MULLINS, SC
ZIP 29574
Phone: (843) 464-7111
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MCLEOD HEALTH CHERAW is a rural health clinic center in Mullins, SC. MCLEOD HEALTH CHERAW NPI is 1710532486. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcleod Family Medicine-marion.

The provider's business location address is:

3032 E HIGHWAY 76
MULLINS, SC
ZIP 29574-396
Phone: (843) 464-7111

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

The CLIA number assigned to this NPI record is 42D0963123 - 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 10/4/2019.

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
1	207Q00000X	Family Medicine				No
2	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	RHC169	MEDICAID	SOUTH CAROLINA
2	42-8927	OTHER	SOUTH CAROLINA	PTAN

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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