Mcleod Family Medicine-Dr. Eagerton, Jr.
LBN: Mcleod Health Clarendon
Mcleod Family Medicine-Dr. Eagerton, Jr. is an health care organization with primary practice located at 200 E Hospital St , Manning SC 29102-3160. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Mcleod Health Clarendon can be contacted via phone (803) 433-0439, or through Ervin, Samuel Fulton via phone (843) 777-2910.
Contact Information
Primary practice address
200 E Hospital St
Manning SC 29102-3160
Phone: (803) 433-0439
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1962851097 |
|---|---|
| LBN Legal business name | Mcleod Health Clarendon |
| DBA Doing business as | Mcleod Family Medicine-Dr. Eagerton, Jr. |
| Authorized official | Ervin, Samuel Fulton |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 9th, 2016 |
| Last updated | Apr 17th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962851097 | NPPES |
| South Carolina | MEDICAID | RHC242 | |
| South Carolina | Other | 87-3801 |
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