Chesterfield Marlboro LP

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

HTL-677 Issued in SC

Legal business name

CHESTERFIELD MARLBORO LP

Doing business as

Marlboro Park Hospital

Practice address

1138 Cheraw St
Bennettsville, SC 29512-2466

Phone

(843) 479-2881

NPI assigned

Feb 10, 2006

Last updated

May 14, 2014By the provider in NPPES

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

Laurie Holtsford

Title

Authorized Official

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Marlboro Park Hospital Doing business as

Part of

Marlboro Park Hospital

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1780657528",
    "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",
            "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": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "SC",
            "license": "HTL-677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179465",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140492",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marlboro Park Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chesterfield Marlboro LP (Marlboro Park Hospital)
• Chesterfield Marlboro LP (Marlboro Park Hospital)
• Chesterfield Marlboro LP (Marlboro Primary Care Associates)
• Chesterfield Marlboro LP (Marlboro Park Hospital)
• Chesterfield Marlboro LP (Marlboro Pediatrics)
• Chesterfield-Marlboro LP (Marlboro Park Hospital)
• Chesterfield-Marlboro, LP (Marlboro Primary Care Associates)
• Heidi Christensen, PT, DPT
• Charu Clifford, DDS
• Carolyn T Cohen, RNC

• Psychiatric Hospital Unit in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Psychiatric Hospital Unit in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.