CHESTERFIELD MARLBORO LP (NPI# 1407978190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407978190 |
| Entity Type | Organization |
| Organization Name | CHESTERFIELD MARLBORO LP |
| Other Organization Name | MARLBORO PRIMARY CARE ASSOCIATES |
| Practice Address |
1040 Marlboro Way Suite 1 Bennettsville SC 29512-2494 |
| Practice Telephone | 8434795890 |
| Practice Fax Number | 8434795893 |
| Mailing Telephone | 8434795890 |
| Mailing Fax Number | 8434795893 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHESTERFIELD MARLBORO LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC529 | 05 |
| Other Name | Type Code |
|---|---|
| Marlboro Primary Care Associates | 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 |
| 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 |
| 1780657528 | Chesterfield Marlboro Lp | Psychiatric Unit | 1138 Cheraw St, 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 |
1040 MARLBORO WAY SUITE 1 |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219637 | Marlboro Clinic Corp | Surgery | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2005-07-18 |
| 1497134852 | Mcleod Physician Associates II | Nurse Practitioner | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2015-05-19 |
| 1417335902 | Mcleod Physician Associates II | Obstetrics & Gynecology | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2015-05-15 |
| 1760860258 | Mcleod Physician Associates II | Surgery | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2015-05-15 |
| 1013221589 | Gopalbhai K Vaghela | Family Medicine | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2010-07-27 |
| 1134281793 | Janice Susan Miller | Family Medicine | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2006-12-13 |
| 1275692501 | Marlboro Clinic Corp | Internal Medicine | 1040 Marlboro Way, Suite 8, Bennettsville, SC 29512-2494 | 2006-12-06 |
| 1033294285 | Chi Dai Chen | Surgery | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2006-10-26 |
| 1174630826 | Julia Veretta James | Nurse Practitioner | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2006-08-25 |
| 1508876863 | Chesterfield-marlboro, Lp | Family Medicine | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2006-08-09 |
| Find all providers in the same location | ||||
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1689980468 | Chesterfield Marlboro Lp | Clinic/Center | 1076 Marlboro Way, Ste 3, Bennettsville, SC 29512-2495 | 2010-08-31 |
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|---|---|---|---|---|
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| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 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 |
| 1154621829 | Marion Physician Services LLC | Clinic/Center | 108a E Main St, Latta, SC 29565-1617 | 2010-10-28 |
| 1992018691 | Fairfield Memorial Hospital | Clinic/Center | 880 West Moultrie Street, Suite 3, Winnsboro, SC 29180-2411 | 2010-07-22 |
| 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.