CHESTERFIELD-MARLBORO LP NPI 1770895674

NPI Information

  • NPI: 1770895674
  • Provider Name: CHESTERFIELD-MARLBORO LP
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Doing Business As: MARLBORO PARK HOSPITAL
  • Address: 1138 CHERAW HWY
    BENNETTSVILLE, SC
    ZIP 29512
  • Phone: (843) 454-8400

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NPI Details

CHESTERFIELD-MARLBORO LP is an emergency medicine in Bennettsville, SC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CHESTERFIELD-MARLBORO LP NPI is 1770895674. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Marlboro Park Hospital.

The provider's business location address is:

1138 CHERAW HWY
BENNETTSVILLE, SC
ZIP 29512-466
Phone: (843) 454-8400
Fax: (843) 479-5860

The provider's authorized official is Debbie 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 7/8/2010 and was last updated on 11/18/2011.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4367500000XNurse Anesthetist, Certified RegisteredNo
5207P00000XEmergency MedicineSOUTH CAROLINAYes

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
1203749OTHERSOUTH CAROLINAUNISON
28053756MEDICAIDNORTH CAROLINA
35057MEDICARE PINSOUTH CAROLINA
4400541MEDICAIDSOUTH CAROLINA
55916149MEDICAIDNORTH 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: 11/21/2025

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