CHESTERFIELD MARLBORO LP (NPI# 1780657528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780657528 |
| Entity Type | Organization |
| Organization Name | CHESTERFIELD MARLBORO LP |
| Other Organization Name | MARLBORO PARK HOSPITAL |
| Practice Address |
1138 Cheraw St Bennettsville SC 29512-2466 |
| Mailing Address |
Po Box 198157 Atlanta GA 30384-8157 |
| Practice Telephone | 8434792881 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | LAURIE HOLTSFORD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6154657466 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHESTERFIELD MARLBORO LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | HTL-677 | SC | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 140492 | 05 | |
| SC | 179465 | 05 |
| Other Name | Type Code |
|---|---|
| Marlboro Park Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121951 | Chesterfield Marlboro Lp | General Acute Care Hospital | 1138 Cheraw St, Bennettsville, SC 29512-2466 | 2006-02-07 |
| 1689980468 | Chesterfield Marlboro Lp | Clinic/Center | 1076 Marlboro Way, Ste 3, Bennettsville, SC 29512-2495 | 2010-08-31 |
| 1073788568 | Chesterfield Marlboro Lp | General Acute Care Hospital | 1138 Cheraw Hwy, Bennettsville, SC 29512 | 2008-04-25 |
| 1407978190 | Chesterfield Marlboro Lp | Clinic/Center | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2007-04-04 |
| 1174596936 | Chesterfield Marlboro Lp | Medicare Defined Swing Bed Unit | 711 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2006-02-10 |
| 1366415119 | Chesterfield Marlboro Lp | Medicare Defined Swing Bed Unit | 1138 Cheraw St, Pob 738, Bennettsville, SC 29512-2466 | 2006-02-10 |
| 1891768842 | Chesterfield Marlboro Lp | General Acute Care Hospital | 711 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2006-02-09 |
| Street Address |
1138 CHERAW ST |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121951 | Chesterfield Marlboro Lp | General Acute Care Hospital | 1138 Cheraw St, Bennettsville, SC 29512-2466 | 2006-02-07 |
| 1023255858 | Mathew Kadalikattil Thomas | Emergency Medicine | 1138 Cheraw St, Bennettsville, SC 29512-2466 | 2009-01-15 |
| 1295998755 | Hardik Parekh | Emergency Medicine | 1138 Cheraw St, Bennettsville, SC 29512-2466 | 2008-07-05 |
| 1487604088 | Steven B Glassman | Radiology | 1138 Cheraw St, Dept. of Radiology, Bennettsville, SC 29512-2466 | 2006-05-12 |
| 1366415119 | Chesterfield Marlboro Lp | Medicare Defined Swing Bed Unit | 1138 Cheraw St, Pob 738, Bennettsville, SC 29512-2466 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841371 | Anna Paige Paul | Counselor | 1035 Cherau St, Bennettsville, SC 29512 | 2016-06-06 |
| 1821468679 | Kristen Dana Oliver | Social Worker | 1035 Cherow St., Bennettsville, SC 29512 | 2015-10-05 |
| 1285022749 | 3-points Coastal Care,llc | Community/Behavioral Health | 1300 West Main St, Bennettsville, SC 29512 | 2015-01-06 |
| 1437572328 | Terri Cardenas Woodham | Pharmacist | 336 Highway 9 West, Bennettsville, SC 29512 | 2014-01-28 |
| 1851712533 | Amy Kessler | Pharmacist | 336 Hwy 9 West, Bennettsville, SC 29512 | 2013-12-23 |
| 1346677184 | Daniel Louis Lockamy | Counselor | 284 Tatum Rd, Bennettsville, SC 29512 | 2013-10-10 |
| 1164772596 | Melissa Irene Pletan | Pharmacist | 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 | 2012-09-13 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1649572710 | Ingram Health Service/manna House.inc | Case Management | 211 N Market Street, Bennettsville, SC 29512 | 2010-11-23 |
| 1952564387 | Gregory Wayne Alford | Community Health Worker | 610 State Street Ext, Bennettsville, SC 29512 | 2008-07-07 |
| Find all providers in zip 29512 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326095324 | Prisma Health-midlands | Psychiatric Unit | 3301 Harden Street 11 Medical Park, Columbia, SC 29203-6897 | 2006-05-27 |
| 1598717316 | Prisma Health-midlands | Psychiatric Unit | 1330 Taylor At Marion Street, Columbia, SC 29201-0000 | 2006-05-17 |
| 1902864283 | The Regional Medical Center of Orangeburg and Calhoun Counties | Psychiatric Unit | 3000 St Matthews Rd, Orangeburg, SC 29118-1498 | 2006-05-03 |
| 1033681630 | Spartanburg Medical Center | Psychiatric Unit | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2018-12-20 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 1972014728 | Grand Strand Regional Medical Center, LLC | Psychiatric Unit | 5050 Highway 17 Byp S, Myrtle Beach, SC 29588-4500 | 2017-10-19 |
| 1386038115 | Lancaster Hospital Corporation | Psychiatric Unit | 800 W Meeting St, Lancaster, SC 29720-2202 | 2015-03-18 |
| 1124443478 | Trident Medical Center, LLC | Psychiatric Unit | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2014-02-24 |
| 1376829952 | Walterboro Community Hospital, Inc. | Psychiatric Unit | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2011-10-27 |
| 1740314681 | Qhg of South Carolina Inc | Psychiatric Unit | 121 E Cedar St, Florence, SC 29506 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
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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.