Active NPI
Chesterfield Marlboro LP
- Rural Health Clinic/Center
- Bennettsville, SC
National Provider Identifier
1689980468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- CHESTERFIELD MARLBORO LP
- Practice address
- 1076 Marlboro Way
Ste 3
Bennettsville, SC 29512-2495 - Phone
- (843) 479-0432
- Fax
- (843) 479-1261
- NPI assigned
- Aug 31, 2010
- Organization subpart
- Yes
- Parent organization
- CHESTERFIELD MARLBORO LP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie Holtsford
- Title
- Auth Official/Dir Business Office
- Phone
- (615) 465-7466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1076 Marlboro Way
Ste 3
Bennettsville, SC 29512-2495
Mailing address
1076 Marlboro Way
Ste 3
Bennettsville, SC 29512-2495
Phone (843) 479-0432
Other names 1
- Marlboro Pediatrics
National Provider Directory
National Provider Directory- Part of
- Chesterfield Marlboro LP
Locations
1076 Marlboro Way
Ste 3
Bennettsville, SC 29512
Phone (843) 479-0432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1689980468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 MARLBORO WAY",
"address_2": "STE 3",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295122495",
"telephone_number": "843-479-0432",
"fax_number": "843-479-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 MARLBORO WAY",
"address_2": "STE 3",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295122495",
"telephone_number": "843-479-0432",
"fax_number": "843-479-1261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTERFIELD MARLBORO LP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHESTERFIELD MARLBORO LP",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "HOLTSFORD",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "AUTH OFFICIAL/DIR BUSINESS OFFICE",
"authorized_official_telephone_number": "615-465-7466"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marlboro Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.