Basic Information
| Provider Information | |||||||||
| NPI: | 1356419147 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CHESTERFIELD GENERAL HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 711 CHESTERFIELD HIGHWAY | ||||||||
| Address2: | |||||||||
| City: | CHERAW | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295200151 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 711 CHESTERFIELD HWY | ||||||||
| Address2: | |||||||||
| City: | CHERAW | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295200151 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8435377881 | ||||||||
| FaxNumber: | 8433203482 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SIMPSON | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
| AuthorizedOfficialMiddleName: | GABE | ||||||||
| AuthorizedOfficialTitleorPosition: | ER DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8435377881 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 22559 | SC | Y | Hospitals | General Acute Care Hospital |
No ID Information.