MCLEOD MEDICAL CENTER-DILLON (NPI# 1124487541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124487541 |
| Entity Type | Organization |
| Organization Name | MCLEOD MEDICAL CENTER-DILLON |
| Practice Address |
301 E Jackson St Dillon SC 29536-2509 |
| Practice Telephone | 8437744111 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | MR. SAMUEL FULTON ERVIN III (SR. VP & CFO) |
| Authorized Official Telephone | 8437772910 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | HTL-0631 | SC | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | C046NF | 05 | |
| SC | 0854SB | 05 | |
| SC | MEDICARE ID | 42U005 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746141 | Mcleod Medical Center-dillon | General Acute Care Hospital | 301 E Jackson St, Dillon, SC 29536-2509 | 2005-11-10 |
| Street Address |
301 E JACKSON ST |
| City | DILLON |
| State | SC |
| Zip Code | 29536-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014891 | Paul M. Alexander | Emergency Medicine | 301 E Jackson St, Dillon, SC 29536-2509 | 2005-06-24 |
| 1376183251 | Helga Regina Floyd | Registered Nurse | 301 E Jackson St, Dillon, SC 29536-2509 | 2020-01-08 |
| 1245878487 | Haley E Jones | Registered Nurse | 301 E Jackson St, Dillon, SC 29536-2509 | 2019-12-18 |
| 1487177895 | Justin Osean | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2017-07-18 |
| 1366970741 | Tammy Gainey Huckabee | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2017-05-30 |
| 1881145696 | Elizabeth Blakey | Dietitian, Registered | 301 E Jackson St, Dillon, SC 29536-2509 | 2016-10-17 |
| 1265805030 | Symphony Emergency Physicians, LLC | Physician Assistant | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-11-03 |
| 1801271739 | Raymond Brown | Physician Assistant | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-07-21 |
| 1811382849 | Jimmi Lynette Jones | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-04-06 |
| 1720346463 | Gregory Ian Spain | Physician Assistant | 301 E Jackson St, Dillon, SC 29536-2509 | 2012-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648858 | Melanie Daniels Smith | Registered Nurse | 1803 Joan Drive, Dillon, SC 29536 | 2020-10-26 |
| 1740888197 | Ashlyn Syvanna Arnette | Registered Nurse | 1001 West Calhoun Street, Dillon, SC 29536 | 2020-10-16 |
| 1245846179 | Chasity Nichole Chavis | Registered Nurse | 2159 Hwy 9 West, Dillon, SC 29536 | 2020-09-16 |
| 1376047811 | Medysis Healthcare | Home Health | 1000 N. Us 301, Dillon, SC 29536 | 2018-03-20 |
| 1548768278 | Medysis Healthcare | Home Health | 1000 N. Us-301, Dillon, SC 29536 | 2018-01-29 |
| 1639547565 | Tynia S Thomas | Counselor | 1324 Commerce, Dillon, SC 29536 | 2015-09-09 |
| 1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
| 1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
| 1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
| 1386932838 | Nardin Nabil Khalil | Family Medicine | 603 North 6th Avenue, Dillon, SC 29536 | 2011-07-19 |
| Find all providers in zip 29536 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168971 | Self Regional Healthcare Partners | Medicare Defined Swing Bed Unit | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1376840504 | Hampton Regional Medical Center - Swingbed | Medicare Defined Swing Bed Unit | 595 W. Carolina Ave, Varnville, SC 29944 | 2011-02-24 |
| 1487702973 | Fairfield Memorial Hospital | Medicare Defined Swing Bed Unit | 102 Us Hwy 321 Bypass N, Winnsboro, SC 29180 | 2007-01-08 |
| 1962975466 | Medical University Hospital Authority | Medicare Defined Swing Bed Unit | 2829 E Highway 76, Mullins, SC 29574-6035 | 2019-01-07 |
| 1316396377 | Mcleod Health Clarendon | Medicare Defined Swing Bed Unit | 10 E Hospital St, Manning, SC 29102-3153 | 2016-06-09 |
| 1538547823 | Mcleod Health Cheraw | Medicare Defined Swing Bed Unit | 711 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2015-05-07 |
| 1760729370 | Rmc-barnwell Healthcare, Inc. | Medicare Defined Swing Bed Unit | 811 Reynolds Rd, Barnwell, SC 29812-1573 | 2013-01-16 |
| 1649525387 | Sc Regional Health System, LLC | Medicare Defined Swing Bed Unit | 811 Reynolds Rd, Barnwell, SC 29812-1573 | 2012-07-18 |
| 1932464708 | Qhg of South Carolina Inc | Medicare Defined Swing Bed Unit | 2829 E Highway 76, Mullins, SC 29574-6035 | 2012-07-09 |
| 1730468992 | Newberry County Memorial Hospital | Medicare Defined Swing Bed Unit | 2669 Kinard St, Newberry, SC 29108-2911 | 2011-08-05 |
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| 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.