Organization Active NPI

Chesterfield Marlboro LP

  • Medicare Defined Swing Bed Hospital Unit
  • Cheraw, SC
National Provider Identifier
1174596936
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
HTL-681 Issued in SC
Legal business name
CHESTERFIELD MARLBORO LP
Practice address
711 Chesterfield Hwy
Cheraw, SC 29520-7002
Phone
(843) 537-7881
Fax
(843) 320-3470
NPI assigned
Feb 10, 2006
Organization subpart
Yes
Parent organization
CHESTERFIELD MARLBORO LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Laurie Holtsford
Title
Auth Officia / Dir Business Office
Phone
(615) 465-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X HTL-681 SC Primary

Addresses

Primary practice location

711 Chesterfield Hwy
Cheraw, SC 29520-7002

Mailing address

PO Box 198172
Atlanta, GA 30384-8172

Other names 1

  • Chesterfield General Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Chesterfield Marlboro LP

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1174596936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198172",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CHESTERFIELD HWY",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207002",
            "telephone_number": "843-537-7881",
            "fax_number": "843-320-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD MARLBORO LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESTERFIELD MARLBORO LP",
        "enumeration_date": "2006-02-10",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTH OFFICIA / DIR BUSINESS OFFICE",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "SC",
            "license": "HTL-681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterfield General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheraw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.