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
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
1138 CHERAW HWY, BENNETTSVILLE, SC 29512-2466
(843) 454-8400
(843) 479-5860
Mailing address
PO BOX 689022, PROVIDER ENROLLMENT DEPARTMENT, FRANKLIN, TN 37068-9022
(888) 304-1079
(615) 469-6629
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
SC
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203749
UNISON
SC
05
—
400541
—
SC
05
—
5916149
—
NC
05
—
8053756
—
NC
Enumeration date
07/08/2010
Last updated
11/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us