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Contact Information

CHESTERFIELD-MARLBORO, LP
1040 MARLBORO WAY
SUITE 1
BENNETTSVILLE, SC29512-2494
 Phone: 843-479-5890
 Fax: 843-479-5893
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHESTERFIELD-MARLBORO, LP

NPI # 1508876863
LBN Legal business name CHESTERFIELD-MARLBORO, LP
Authorized official LAURIE HOLTSFORD - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2006
Last updated 01/21/2014 - About 12 years ago
Identifiers
SC License # HTL0677
NC Medicaid 5901801
SC Medicaid GP1449
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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