McLeod Regional Medical Center of the Pee Dee, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.

Doing business as

McLeod Ambulatory Surgery Center

Practice address

604 East Cheves Street
Florence, SC 29506

Phone

(843) 669-3822

Fax

(843) 669-6116

NPI assigned

Sep 27, 2006

Organization subpart

Yes

Parent organization

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.As reported in NPPES

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

Authorized official

Name

John Bruyere

Title

VP of Business Operations

Phone

(843) 777-4401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McLeod Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 42C0001002

Legal name

MCLEOD AMBULATORY SURGICAL CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 13, 1983

Last certification

Oct 22, 2014

Ownership / control type

Non-Profit

Facility address

604 E Cheves Street
Florence, SC 29506

Part of

McLeod Regional Med Ctr

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1790876902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 EAST CHEVES STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-669-3822",
            "fax_number": "843-669-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 EAST CHEVES STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-669-3822",
            "fax_number": "843-669-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BRUYERE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "843-777-4401"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410022",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McLeod Regional Medical Center of the Pee Dee, Inc. (McLeod Transport)
• McLeod Regional Medical Center of the Pee Dee, Inc. (McLeod Family Medicine)
• McLeod Regional Medical Center of the Pee Dee, Inc.
• McLeod Regional Medical Center of the Pee Dee, Inc.
• McLeod Regional Medical Center of the Pee Dee, Inc.
• Andrea McLeod
• Ashlee McLeod, PT
• Bruce McLeod
• Linda Gail McLeod, DC
• Micaela J McManus

• Ambulatory Surgical Clinic/Center in Florence, SC
• Providers in Florence, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.