Organization
CHESTERFIELD MARLBORO LP
Active
Parent organization
CHESTERFIELD MARLBORO LP
Other names
Marlboro Park Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESTERFIELD MARLBORO LP
Authorized official
DAVID MILLER (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
1138 CHERAW ST, POB 738, BENNETTSVILLE, SC 29512-2466
(843) 479-2881
Mailing address
PO BOX 198157, ATLANTA, GA 30384-8157
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
HTL-677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179465
—
SC
Enumeration date
02/10/2006
Last updated
04/20/2008
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