CBO MRMC EMERGENCY
NPI 1154371433
Emergency Medicine - Emergency Medical Services in Florence, SC

NPI Status: Active since May 10, 2006

Contact Information

555 E CHEVES ST
FLORENCE, SC
ZIP 29506
Phone: (843) 777-2000
Fax: (843) 777-5035

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  • Organization
  • Emergency Medicine
  • Emergency Medical Services
  • Accepts Insurance
  • CLIA Number: 42D0915645
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-07-2027

About CBO MRMC EMERGENCY

This page provides the complete NPI Profile along with additional information for Cbo Mrmc Emergency, a provider established in Florence, South Carolina operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1154371433 assigned on May 2006. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Cbo Mrmc Emergency operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Cbo Mrmc Emergency. The authorized official of this NPI record is Samuel Fulton Ervin Iii (Senior Vp And Cfo)

NPI
1154371433
Provider Legal Name
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Other Organization Name
CBO MRMC EMERGENCY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
555 E CHEVES ST FLORENCE, SC 29506
Location Phone
(843) 777-2000
Location Fax
(843) 777-5035
Mailing Address
PO BOX 100567 FLORENCE, SC 29502
Mailing Phone
(843) 777-5802
Mailing Fax
(843) 777-5035
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-10-2006
Last Update Date
03-19-2024
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Location Map

Secondary Locations

  • 3980 Highway 9 E Ste 300
    Little River, SC 29566
    (843) 366-3891
  • 401 E Cheves St Ste 201
    Florence, SC 29506
    (843) 777-7951
  • 701 Cashua Ferry Rd
    Darlington, SC 29532
    (843) 777-1100

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
4207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
5207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

 
6207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
7207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

 
8207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

 
9207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 
102080P0205XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Endocrinology

 
112084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
12363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 
13367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • InHealth Basic 1 - HMO
  • InHealth Basic 1 + Adult Vision - HMO
  • InHealth Basic 2 - HMO
  • InHealth Basic Plus Standard - HMO
  • InHealth Basic Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMUEL FULTON ERVIN III

Authorized Official Title
SENIOR VP AND CFO
Authorized Official Phone
(843) 777-2910

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
400514MEDICAID (05)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0915645
Facility Type
Hospital
Certificate Effective Date
January 08, 2025
Certificate Expiration Date
January 07, 2027
Laboratory Director
TIFFANY STEWART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cbo Mrmc Emergency to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CBO MRMC EMERGENCY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154371433, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 6 + 7 + 2 + 4 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1154371433.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Emergency Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Emergency Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Emergency Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Emergency Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Emergency Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Internal Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Radiology (Diagnostic Radiology)
555 E CHEVES ST
FLORENCE, SC 29506
Internal Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Internal Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Internal Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Internal Medicine
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Nurse Anesthetist, Certified Registered
555 E CHEVES ST
FLORENCE, SC 29506
Pathology (Anatomic Pathology & Clinical Pathology)
555 E CHEVES ST
FLORENCE, SC 29506
Pathology (Anatomic Pathology & Clinical Pathology)
555 E CHEVES ST
FLORENCE, SC 29506
Pathology (Anatomic Pathology & Clinical Pathology)
555 E CHEVES ST
FLORENCE, SC 29506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154371433, enumerated as an "organization" on May 10, 2006.

The provider is located at 555 E CHEVES ST FLORENCE, SC 29506 and the phone number is (843) 777-2000.

Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.