MCLEOD PRIMARY CARE AND PEDIATRICS BENNETTSVILLE – NPI #1538707146
Clinic/Center

MCLEOD PRIMARY CARE AND PEDIATRICS BENNETTSVILLE is an AHC clinic located in BENNETTSVILLE, SC. NPPES has assigned the NPI number 1538707146 to MCLEOD PRIMARY CARE AND PEDIATRICS BENNETTSVILLE on December 13, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MCLEOD PRIMARY CARE AND PEDIATRICS BENNETTSVILLE” is a dba name, the actual legal business name for this organization is MCLEOD HEALTH CHERAW. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 6 years ago on Sep 28, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MCLEOD PRIMARY CARE AND PEDIATRICS BENNETTSVILLE below.

NPI Profile for
MCLEOD HEALTH CHERAW

NPI Number
1538707146
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCLEOD HEALTH CHERAW
Doing Business As (dba): MCLEOD PRIMARY CARE AND PEDIATRICS BENNETTSVILLE
Primary location
1076 MARLBORO WAY STE 3
BENNETTSVILLE, SC 29512-2495
Phone: (843) 479-0432 Fax:
Mailing address
555 E CHEVES ST
FLORENCE, SC 29506-2617
Phone: (843) 777-5562 Fax:
Organization Subpart
Yes - MCLEOD PRIMARY CARE AND PEDIATRICS BENNETTSVILLE is subpart of another organization.
Authorized Official
SAMUEL ERVIN
SR VICE PRESIDENT AND CFO
Phone: (843) 777-2910
Updated
Certification Date
Sep 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.