Active NPI
Chesterfield Clinic Corp
- Rural Health Clinic/Center
- Cheraw, SC
National Provider Identifier
1295007672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- CHESTERFIELD CLINIC CORP
- Practice address
- 723 S Doctors Dr
Cheraw, SC 29520-7108 - Phone
- (843) 537-9360
- Fax
- (843) 537-9710
- NPI assigned
- Feb 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Brewer
- Title
- Director
- Phone
- (877) 892-9813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
723 S Doctors Dr
Cheraw, SC 29520-7108
Mailing address
PO Box 5353
Belfast, ME 04915-5300
Phone (877) 848-1463
Other names 1
- Carolina Pediatrics
National Provider Directory
National Provider DirectoryLocations
309 Clyde Ave
Cheraw, SC 29520
Phone (843) 253-5126
721 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 917-4117
34 Foundry Hill Rd
Cheraw, SC 29520
Phone (843) 537-7074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1295007672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5353",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155300",
"telephone_number": "877-848-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 S DOCTORS DR",
"city": "CHERAW",
"state": "SC",
"postal_code": "295207108",
"telephone_number": "843-537-9360",
"fax_number": "843-537-9710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTERFIELD CLINIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "877-892-9813"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Pediatrics",
"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 Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.