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:
Map and Directions
Authorized official contact:
Name: Ervin, Samuel Fulton
Phone: (843) 777-2910

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205882461 NPPES
South Carolina MEDICAID GP2493

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