Mcleod Chronic Care Management

LBN: Mcleod Regional Medical Center Of The Pee Dee, Inc
Mcleod Chronic Care Management is an health care organization with primary practice located at 101 William H Johnson St Ste 290 , Florence SC 29506-2769. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Chronic Care. Physician Assistants & Advanced Practice Nursing Providers / Chronic Care is the primary health care specialty. Mcleod Regional Medical Center Of The Pee Dee, Inc can be contacted via phone (843) 777-6000, or through Ervin, Samuel Fulton via phone (843) 777-2910.

Contact Information

Primary practice address
101 William H Johnson St Ste 290 Florence SC 29506-2769
Phone: (843) 777-6000
Fax: (843) 777-5035
Website:
Map and Directions
Authorized official contact:
Name: Ervin, Samuel Fulton
Phone: (843) 777-2910

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Physician Assistants & Advanced Practice Nursing Providers / Chronic Care 364SC2300X

Profile Details

NPI number 1427004738
LBN Legal business name Mcleod Regional Medical Center Of The Pee Dee, Inc
DBA Doing business as Mcleod Chronic Care Management
Authorized official Ervin, Samuel Fulton
Entity Organization
Organization subpart 1 Yes
Enumeration date May 26th, 2006
Last updated Mar 5th, 2021 - about 3 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 1427004738 NPPES
South Carolina MEDICAID GP2470
South Carolina MEDICAID DPE035

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