Marlboro Park Hospital | |
1138 Cheraw St Bennettsville SC 29512-2466 | |
(843) 479-2881 | |
Not Available |
Full Name | Marlboro Park Hospital |
---|---|
Speciality | Psychiatric Unit |
Location | 1138 Cheraw St, Bennettsville, South Carolina |
Authorized Official Name and Position | Laurie Holtsford (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6154657466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marlboro Park Hospital Po Box 198157 Atlanta GA 30384-8157 Ph: () - | Marlboro Park Hospital 1138 Cheraw St Bennettsville SC 29512-2466 Ph: (843) 479-2881 |
NPI Number | 1780657528 |
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Provider Enumeration Date | 02/10/2006 |
Last Update Date | 05/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780657528 | NPI | - | NPPES |
179465 | Medicaid | SC | |
140492 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | HTL-677 (South Carolina) | Primary |
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