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NPI Code Detail

MEDICARE: MCLEOD MEDICAL CENTER-DILLON

MEDICARE: MCLEOD MEDICAL CENTER-DILLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalHTL-854SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598746141
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCLEOD MEDICAL CENTER-DILLON
Provider Business Mailing Address
First Line : PO BOX 100567
Second Line :
City : FLORENCE
State : SC
Zip : 29501-0567
Country : US
Telephone Number : 843-777-4402
Fax Number : 843-777-5249
Provider Business Practice Location Address
First Line : 301 E JACKSON ST
Second Line :
City : DILLON
State : SC
Zip : 29536-2509
Country : US
Telephone Number : 843-777-4402
Fax Number : 843-777-5249
Authorized Official
Title or Position : SR VP AND CFO
Name : SAMUEL FULTON ERVIN III
Credential :
Telephone Number : 843-777-2910
Provider Enumeration Date : 11/10/2005
Last Update Date : 03/02/2020

Similar Medicare Providers

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Practice Location Address:
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1538121991 — TERESA G. DIETZ N.P.
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1396798427 — E. JOSEPH VILLENEUVE CRNA
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1720033988 — MCLEOD MEDICAL CENTER DILLON
Practice Location Address:
301 E JACKSON ST
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29536-2509
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1083728778 — BENJAMIN T MITCHELL III MD
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1750471967 — KEITH S. ROCKWILEY PA
Practice Location Address:
301 E JACKSON ST , EMERGENCY DEPT.
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Practice Fax:

Directions to “MCLEOD MEDICAL CENTER-DILLON ” Practice Location

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