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Organization
MCLEOD HEALTH CLARENDON
Active
Organization
MCLEOD HEALTH CLARENDON
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod EMS and Cypress Transport
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL FULTON ERVIN III (SR VICE PRESIDENT AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
10 E HOSPITAL ST, MANNING, SC 29102-3153
(803) 435-3523
Mailing address
10 E HOSPITAL ST, MANNING, SC 29102-3153
(803) 435-3523
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0364
—
SC
01
—
Q596690001
MEDICARE
SC
Enumeration date
07/26/2016
Last updated
02/25/2019
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