MCLEOD HEALTH CLARENDON (NPI# 1205284411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205284411 |
| Entity Type | Organization |
| Organization Name | MCLEOD HEALTH CLARENDON |
| Practice Address |
10 E Hospital St Manning SC 29102-3153 |
| Practice Telephone | 8034358463 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | MR. SAMUEL FULTON ERVIN III (SR VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 8437772910 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE | 42-0109 | 01 |
| SC | BL0930 | 05 | |
| SC | AL0930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693953 | Mcleod Health Clarendon | Family Medicine | 512 Nelson Blvd Ste 200, Kingstree, SC 29556-4027 | 2019-08-09 |
| 1144875774 | Mcleod Health Clarendon | Family Medicine | 355 S Georgetown Hwy, Johnsonville, SC 29555-8083 | 2019-08-09 |
| 1003461773 | Mcleod Health Clarendon | Family Medicine | 755 E Smith St, Timmonsville, SC 29161-9430 | 2019-08-08 |
| 1669925624 | Mcleod Health Clarendon | Ambulance | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-26 |
| 1508218793 | Mcleod Health Clarendon | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-12 |
| 1497104525 | Mcleod Health Clarendon | Family Medicine | 22 Bozard St, Manning, SC 29102-2935 | 2016-06-09 |
| 1316396377 | Mcleod Health Clarendon | Medicare Defined Swing Bed Unit | 10 E Hospital St, Manning, SC 29102-3153 | 2016-06-09 |
| 1962851097 | Mcleod Health Clarendon | Family Medicine | 200 E Hospital St, Manning, SC 29102-3160 | 2016-06-09 |
| 1528417649 | Mcleod Health Clarendon | Family Medicine | 944 Smith Street, Turbeville, SC 29162 | 2016-06-09 |
| 1851740989 | Mcleod Health Clarendon | Clinic/Center | 1056 Felton St, Summerton, SC 29148-7169 | 2016-06-09 |
| Street Address |
10 E HOSPITAL ST |
| City | MANNING |
| State | SC |
| Zip Code | 29102-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477514925 | Edward Hussey Cornell | Occupational Therapist | 10 E Hospital St, Manning, SC 29102-3153 | 2006-03-31 |
| 1083150882 | Bellwood Park Emergency Physicians LLC | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2017-01-17 |
| 1740725464 | South Carolina Em-i Medical Services PC | Physician Assistant | 10 E Hospital St, Manning, SC 29102-3153 | 2017-01-04 |
| 1528518388 | Monique Lynnette Smith | Nurse Practitioner | 10 E Hospital St, Manning, SC 29102-3153 | 2016-10-05 |
| 1477008589 | Mcleod Physician Associates II | Nurse Practitioner | 10 E Hospital St, Suite 100, Manning, SC 29102-3153 | 2016-08-18 |
| 1669925624 | Mcleod Health Clarendon | Ambulance | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-26 |
| 1407209117 | Mcleod Physician Associates II | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-18 |
| 1235582933 | Mcleod Physician Associates II | Hospitalist | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-18 |
| 1508218793 | Mcleod Health Clarendon | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-12 |
| 1316396377 | Mcleod Health Clarendon | Medicare Defined Swing Bed Unit | 10 E Hospital St, Manning, SC 29102-3153 | 2016-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546138 | Dental Wellness Center of Manning, LLC | Clinic/Center | 1988 Paxille Hwy, Ste 613-01, Manning, SC 29102 | 2019-03-05 |
| 1982148433 | Allison Elaine Saran | Registered Nurse | Mcleod Women's Health, 50 East Hospital Street Suite 4a, Manning, SC 29102 | 2016-12-16 |
| 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 |
| Find all providers in zip 29102 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265481550 | Clarendon Memorial Hospital | General Acute Care Hospital | 10 Hospital Street, Manning, SC 29102 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651949 | Hampton Regional Medical Center | General Acute Care Hospital | 595 Carolina Ave West, Varnville, SC 29944-4735 | 2005-06-30 |
| 1366815136 | Middleburg Oral Surgery | General Acute Care Hospital | 2724 Middleburg Dr, Suite A, Columbia, SC 29204-2437 | 2015-11-03 |
| 1902283740 | Mcleod Health Cheraw | General Acute Care Hospital | 711 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2015-04-30 |
| 1831418862 | Qhg of South Carolina Inc | General Acute Care Hospital | 2829 E Highway 76, Mullins, SC 29574-6035 | 2010-06-01 |
| 1548450265 | Edith Louise Messina | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2007-07-30 |
| 1124051834 | Bamberg County Memorial Hospital | General Acute Care Hospital | 509 North St, Bamberg, SC 29003-1330 | 2006-07-08 |
| 1851320519 | Marion Regional Healthcaer System | General Acute Care Hospital | 2829 E Highway 76, Mullins, SC 29574-6035 | 2006-07-02 |
Please comment or provide details below to improve the information on MCLEOD HEALTH CLARENDON.
| 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.