Healthcare Provider Details

I. General information

NPI: 1902283740
Provider Name (Legal Business Name): MCLEOD HEALTH CHERAW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 02/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 CHESTERFIELD HWY
CHERAW SC
29520-7002
US

IV. Provider business mailing address

PO BOX 100567
FLORENCE SC
29502-0567
US

V. Phone/Fax

Practice location:
  • Phone: 843-537-7881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL F ERVIN III
Title or Position: SR VICE PRESIDENT & CFO
Credential:
Phone: 843-777-2910