Mcleod Family Medicine Kingstree
LBN: Mcleod Physician Associates Ii
Mcleod Family Medicine Kingstree is an health care organization with primary practice located at 512 Nelson Blvd Ste 200 , Kingstree SC 29556-4027. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Mcleod Physician Associates Ii can be contacted via phone (843) 355-5459, or through Ervin, Samuel Fulton via phone (843) 777-2910.
Contact Information
Primary practice address
512 Nelson Blvd Ste 200
Kingstree SC 29556-4027
Phone: (843) 355-5459
Fax: (843) 355-9704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | South Carolina | |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 11529 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | South Carolina |
Profile Details
| NPI number | 1275689002 |
|---|---|
| LBN Legal business name | Mcleod Physician Associates Ii |
| DBA Doing business as | Mcleod Family Medicine Kingstree |
| Authorized official | Ervin, Samuel Fulton |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Aug 8th, 2019 - about 5 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 | 1275689002 | NPPES |
| South Carolina | MEDICAID | RHC047 |
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