Chesterfield Clinic Corp
LBN: Chesterfield Clinic Corp
Chesterfield Clinic Corp is an health care organization with primary practice located at 721 Chesterfield Hwy , Cheraw SC 29520-7002. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Chesterfield Clinic Corp can be contacted via phone (843) 921-1211, or through Brewer, Debbie via phone (615) 465-7626.
Contact Information
Primary practice address
721 Chesterfield Hwy
Cheraw SC 29520-7002
Phone: (843) 921-1211
Fax: (843) 921-1213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X |
Profile Details
| NPI number | 1376546903 |
|---|---|
| LBN Legal business name | Chesterfield Clinic Corp |
| DBA Doing business as | |
| Authorized official | Brewer, Debbie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Nov 29th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376546903 | NPPES |
| South Carolina | MEDICAID | GP3612 |
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