NPIMap

Organization Active NPI

McLeod Physician Associates II

Doing business as Family Health Center - Mt. Olive

  • Rural Health Clinic/Center
  • Green Sea, SC
National Provider Identifier
1114204153
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Doing business as
Family Health Center - Mt. Olive
Practice address
5260 Highway 9
Green Sea, SC 29545-4930
Phone
(843) 392-9222
Fax
(843) 392-1445
NPI assigned
Nov 4, 2011
Last updated
Dec 6, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dane P Ficco
Title
Senior Vice President
Phone
(843) 777-7012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

5260 Highway 9
Green Sea, SC 29545-4930

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7010

Other names 1

  • Family Health Center - Mt. Olive Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Associates138 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1114204153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7010",
            "fax_number": "843-777-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 HIGHWAY 9",
            "city": "GREEN SEA",
            "state": "SC",
            "postal_code": "295454930",
            "telephone_number": "843-392-9222",
            "fax_number": "843-392-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH, INC.",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "FICCO",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "843-777-7012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center - Mt. Olive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Sea, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.