CLARENDON MEMORIAL HOSPITAL


Address: 619 S Mill St, Manning, SC 29102-2806
Phone: 8034333050

CLARENDON MEMORIAL HOSPITAL (NPI# 1114355344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114355344
Entity Type Organization
Organization Name CLARENDON MEMORIAL HOSPITAL
Other Organization Name CLARENDON PULMONARY ASSOCIATES
Practice Address 619 S Mill St
Manning
SC 29102-2806
Mailing Address 50 E Hospital St
Suite 8
Manning
SC 29102-3149
Practice Telephone 8034333050
Enumeration Date 2013-10-25
Last Update Date 2013-10-25
Authorized Official Name RICHARD STOKES (C.E.O.)
Authorized Official Telephone 8034353239
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Clarendon Pulmonary Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144578113 Clarendon Memorial Hospital Clinic/Center 10 E Hospital St., Suite 100, Manning, SC 29102-3153 2012-08-24
1558592758 Clarendon Memorial Hospital Urology 409 S Mill St, Manning, SC 29102-2918 2009-08-05
1093987091 Clarendon Memorial Hospital Pharmacy 50 E Hospital St Ste 1, Manning, SC 29102-3149 2008-03-31
1841350451 Clarendon Memorial Hospital Neurological Surgery 20 Hospital St, Manning, SC 29102 2006-12-12
1700965217 Clarendon Memorial Hospital Obstetrics & Gynecology 50 E. Hospital St., Suite 4, Manning, SC 29102-3149 2006-11-03
1376628875 Clarendon Memorial Hospital Home Health 23 S Mill St, Manning, SC 29102-3167 2006-10-25
1538188495 Clarendon Memorial Hospital Family Medicine 22 Bozard Street, Manning, SC 29102 2006-07-19
1326089590 Clarendon Memorial Hospital Family Medicine 50 Hospital St, Suite 4, Manning, SC 29102 2006-06-09
1447291695 Clarendon Memorial Hospital Family Medicine 944 Smith Street, Turbeville, SC 29162-0206 2006-06-09
1265481550 Clarendon Memorial Hospital General Acute Care Hospital 10 Hospital Street, Manning, SC 29102 2006-05-06

Office Location

Street Address 619 S MILL ST
City MANNING
State SC
Zip Code 29102-2806

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NPI Name Taxonomy Address Enumeration
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1629529698 Clarendon Behavioral Health Health Maintenance Organization 14 N. Church Street, Manning, SC 29102 2016-10-14
1396158200 Monica Ploetzke Obstetrics & Gynecology 50 E Hospital St Ste 4a, Manning, SC 29102 2014-06-09
1336567239 Marian Moody Registered Nurse 110 Boyce Street, Dhec Clarendon County Health Dept, Manning, SC 29102 2014-03-29
1700212420 Southern Lakes Therapy,llc Physical Therapist 297 W Boyce St, Manning, SC 29102 2013-09-26
1902190473 Professional Care of Manning, LLC In Home Supportive Care 220 West Boyce St, Manning, SC 29102 2011-06-02
1275789810 Vital Care Ambulance Service, LLC. Ambulance 3662 Greeleyville Hwy, Manning, SC 29102 2008-08-14
1831384015 Ramona J Howard Registered Nurse 10 E. Hospital Street, Hospitalist Department, Manning, SC 29102 2007-09-11
1619098670 H P Bozard Dds Pa Dentist 17 East Hospital Street, Manning, SC 29102 2007-04-03
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922630912 Medasic Internal Medicine 300 John St Ste 4b, Greer, SC 29651-1463 2020-02-07
1043759137 Rober Albertini Sr. Internal Medicine 45 Wood Duck Rd, Hilton Head, SC 29928-7105 2017-02-22
1861863185 Midlands Pulmonary and Critical Care Specialists, PC Internal Medicine 1403 E Greenville St Ste C, Anderson, SC 29621-2049 2015-10-13
1871905166 Minuteman Medicine LLC Internal Medicine 8036 Hyannis Ct, North Charleston, SC 29420-8967 2014-05-21
1699010983 Gary B Anderson Internal Medicine 1892 Brigadoone Ln, Florence, SC 29505-3235 2012-11-28
1164789251 Southeast Lung & Critical Care Specialists, PC Internal Medicine 8 Okatie Center Blvd S, Suite 101, Bluffton, SC 29909-7532 2012-04-13
1518259977 Hina Chaudhry Internal Medicine 2750 Laurel St Ste 200a, Columbia, SC 29204-2038 2011-05-04
1104159110 Conway Hospital Inc Internal Medicine 2376 Cypress Cir, Ste 100, Conway, SC 29526-8964 2009-09-09
1528203205 Kershawhealth Internal Medicine 1218 Roberts St, Camden, SC 29020-3736 2008-12-09
1801042346 Nada Tazi Internal Medicine 805 Pamplico Hwy Ste 300 Medical Mall B, Florence, SC 29506-2618 2008-08-15
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City MANNING
Zip Code 29102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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