Chesterfield Marlboro LP

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

HTL-677 Issued in SC

Legal business name

CHESTERFIELD MARLBORO LP

Practice address

1138 Cheraw St
Pob 738
Bennettsville, SC 29512-2466

Phone

(843) 479-2881

NPI assigned

Feb 10, 2006

Organization subpart

Yes

Parent organization

CHESTERFIELD MARLBORO LPAs reported in NPPES

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

Authorized official

Name

David Miller

Title

Senior VP, Group Operations

Phone

(888) 373-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marlboro Park Hospital Doing business as

Part of

Chesterfield Marlboro LP

Locations

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1366415119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198157",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 CHERAW ST",
            "address_2": "POB 738",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122466",
            "telephone_number": "843-479-2881"
        }
    ],
    "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": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "888-373-9600"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "SC",
            "license": "HTL-677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179465",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marlboro Park Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgette Chavis, LPN
• Brittany Cheek
• CHI Dai Chen, MD
• Barbara Lorraine Cherry, MHP
• Chesterfield Marlboro LP
• Chesterfield Marlboro LP
• Chesterfield Marlboro LP
• Chesterfield Marlboro LP
• Chesterfield Marlboro LP
• Chesterfield-Marlboro LP

• Medicare Defined Swing Bed Hospital Unit in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Medicare Defined Swing Bed Hospital Unit in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.