Organization
MCLEOD MEDICAL CENTER-DILLON
Active
Parent organization
MCLEOD HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
MR. SAMUEL FULTON ERVIN III (SR. VP & CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
301 E JACKSON ST, DILLON, SC 29536-2509
(843) 774-4111
Mailing address
301 E JACKSON ST, DILLON, SC 29536-2509
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
HTL-0631
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0854SB
—
SC
01
—
42U005
MEDICARE ID
SC
05
—
C046NF
—
SC
Enumeration date
02/12/2016
Last updated
05/22/2019
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