Mcleod Family Medicine
LBN: Mcleod Regional Medical Center Of The Pee Dee, Inc.
Mcleod Family Medicine is an health care organization with primary practice located at 144 N Ravenel St , Florence SC 29506-2641. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mcleod Regional Medical Center Of The Pee Dee, Inc. can be contacted via phone (843) 777-2800, or through Ervin, Samuel Fulton via phone (843) 777-2910.
Contact Information
Primary practice address
144 N Ravenel St
Florence SC 29506-2641
Phone: (843) 777-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Dental Providers / Dentist | 122300000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1205882461 |
|---|---|
| LBN Legal business name | Mcleod Regional Medical Center Of The Pee Dee, Inc. |
| DBA Doing business as | Mcleod Family Medicine |
| Authorized official | Ervin, Samuel Fulton |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 16th, 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 | 1205882461 | NPPES |
| South Carolina | MEDICAID | GP2493 |
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