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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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