Organization Active NPI

Chesterfield Clinic Corp

  • Rural Health Clinic/Center
  • Cheraw, SC
National Provider Identifier
1295007672
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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

Updated by the provider on Feb 1, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.