CBO MRMC EMERGENCY – NPI #1154371433
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

CBO MRMC EMERGENCY is a provider located in FLORENCE, SC. NPPES has assigned the NPI number 1154371433 to CBO MRMC EMERGENCY on May 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CBO MRMC EMERGENCY” is a dba name, the actual legal business name for this organization is MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 2 years ago on Mar 19, 2024. 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 CBO MRMC EMERGENCY below.

NPI Profile for
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC

NPI Number
1154371433
Enumeration Date

(more than 20 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 REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Doing Business As (dba): CBO MRMC EMERGENCY
Primary location
555 E CHEVES ST
FLORENCE, SC 29506-2617
Phone: (843) 777-2000 Fax: (843) 777-5035
3 Other location(s):
701 Cashua Ferry Rd
Darlington, SC 29532-8488
Phone: (843) 777-1100
401 E Cheves St Ste 201
Florence, SC 29506-2615
Phone: (843) 777-7951
3980 Highway 9 E Ste 300
Little River, SC 29566-8165
Phone: (843) 366-3891
Mailing address
PO BOX 100567
FLORENCE, SC 29502-0567
Phone: (843) 777-5802 Fax: (843) 777-5035
Organization Subpart
Yes - CBO MRMC EMERGENCY is subpart of another organization.
Authorized Official
SAMUEL ERVIN
SENIOR VP AND CFO
Phone: (843) 777-2910
Updated
Certification Date
Mar 19, 2024

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.

Identifiers

Identifiers for CBO MRMC EMERGENCY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSC400514
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.

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.