MCLEOD HEALTH CLARENDON (NPI# 1003461773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003461773 |
| Entity Type | Organization |
| Organization Name | MCLEOD HEALTH CLARENDON |
| Other Organization Name | MCLEOD FAMILY MEDICINE-TIMMONSVILLE |
| Practice Address |
755 E Smith St Timmonsville SC 29161-9430 |
| Mailing Address |
Po Box 100567 Florence SC 29502-0567 |
| Practice Telephone | 8433463900 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | SAMUEL FULTON ERVIN III (SR VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 8437772910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PTAN | 42-8962 | 01 |
| SC | GP1781 | 05 | |
| SC | RHC170 | 05 | |
| SC | RHC137 | 05 |
| Other Name | Type Code |
|---|---|
| McLeod Family Medicine-Timmonsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693953 | Mcleod Health Clarendon | Family Medicine | 512 Nelson Blvd Ste 200, Kingstree, SC 29556-4027 | 2019-08-09 |
| 1144875774 | Mcleod Health Clarendon | Family Medicine | 355 S Georgetown Hwy, Johnsonville, SC 29555-8083 | 2019-08-09 |
| 1669925624 | Mcleod Health Clarendon | Ambulance | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-26 |
| 1508218793 | Mcleod Health Clarendon | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-12 |
| 1497104525 | Mcleod Health Clarendon | Family Medicine | 22 Bozard St, Manning, SC 29102-2935 | 2016-06-09 |
| 1316396377 | Mcleod Health Clarendon | Medicare Defined Swing Bed Unit | 10 E Hospital St, Manning, SC 29102-3153 | 2016-06-09 |
| 1962851097 | Mcleod Health Clarendon | Family Medicine | 200 E Hospital St, Manning, SC 29102-3160 | 2016-06-09 |
| 1528417649 | Mcleod Health Clarendon | Family Medicine | 944 Smith Street, Turbeville, SC 29162 | 2016-06-09 |
| 1851740989 | Mcleod Health Clarendon | Clinic/Center | 1056 Felton St, Summerton, SC 29148-7169 | 2016-06-09 |
| 1497103618 | Mcleod Health Clarendon | Obstetrics & Gynecology | 50 E Hospital St, Suite 4, Manning, SC 29102-3149 | 2016-05-27 |
| Street Address |
755 E SMITH ST |
| City | TIMMONSVILLE |
| State | SC |
| Zip Code | 29161-9430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043282866 | Mcleod Physician Associates, Inc. | Family Medicine | 755 E Smith St, Timmonsville, SC 29161-9430 | 2006-02-06 |
| 1346741121 | Brandi Powell Russ | Nurse Practitioner | 755 E Smith St, Timmonsville, SC 29161-9430 | 2018-02-27 |
| 1578000840 | Danielle Ann Altman | Nurse Practitioner | 755 E Smith St, Timmonsville, SC 29161-9430 | 2017-01-25 |
| 1528162112 | Mcleod Physician Associates II | Nurse Practitioner | 755 E Smith St, Timmonsville, SC 29161-9430 | 2006-09-12 |
| 1801869797 | Allison Slice | Nurse Practitioner | 755 E Smith St, Timmonsville, SC 29161-9430 | 2006-02-10 |
| 1932172483 | Focell Jackson-dozier | Family Medicine | 755 E Smith St, Timmonsville, SC 29161-9430 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780792531 | Florence County School Districk #4 | Psychologist | 304 Kemper Street, Timmonsville, SC 29161 | 2006-08-29 |
| 1275566440 | Black River Healthcare, Inc. | Registered Nurse | 206 East Market Street, Timmonsville, SC 29161 | 2006-07-09 |
| 1831163450 | Louis Edward Snyder Jr. | Dentist | 519 W Palmetto St, Florence, SC 29161 | 2006-02-13 |
| 1891106472 | Tonya Tawanda Dickey | Non-emergency Medical Transport (VAN) | 105 E Smith St, Timmonsville, SC 29161 | 2014-05-16 |
| 1215155304 | Professional Medical Training and Supply | Durable Medical Equipment & Medical Supplies | 408 S Kershaw St, Timmonsville, SC 29161-1624 | 2007-04-23 |
| 1992992937 | Timmonsville Family Dentistry | Dentist | 101 W Market St, Timmonsville, SC 29161-1725 | 2007-10-03 |
| 1609081504 | Dr. William S Walker | Dentist | 101 W Market St, Timmonsville, SC 29161-1725 | 2007-05-14 |
| 1376665836 | Richard Munford Andrews | Dentist | 101 W Market St, Timmonsville, SC 29161-1725 | 2007-04-04 |
| 1538257175 | William Seay Walker II | Dentist | 101 W Market St, Timmonsville, SC 29161-1725 | 2006-10-10 |
| 1649496803 | Joseph Villaneuva Acaylar | Family Medicine | 210 E Market St, Timmonsville, SC 29161-1812 | 2007-04-17 |
| Find all providers in zip 29161 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482050 | The Palmetto Clinics, LLC | Clinic/Center | 463 Calhoun Ave Ste A-2, Greenwood, SC 29649-2063 | 2020-06-21 |
| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
| 1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
| Find all providers with the same taxonomy | ||||
| City | TIMMONSVILLE |
| Zip Code | 29161 |
Please comment or provide details below to improve the information on MCLEOD HEALTH CLARENDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.