Organization
MCLEOD HEALTH CHERAW
Active
Parent organization
MCLEOD HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL F ERVIN III (SR VICE PRESIDENT AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
711 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 537-7881
Mailing address
PO BOX 100567, FLORENCE, SC 29502-0567
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0681SB
—
SC
01
—
42U107
MEDICARE
SC
Enumeration date
05/07/2015
Last updated
02/25/2019
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