MCLEOD HEALTH CLARENDON (NPI# 1316396377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316396377 |
| Entity Type | Organization |
| Organization Name | MCLEOD HEALTH CLARENDON |
| Practice Address |
10 E Hospital St Manning SC 29102-3153 |
| Practice Telephone | 8034358463 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | 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 | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | C044NF | 05 | |
| SC | 0930SB | 05 | |
| SC | MEDICARE | 42-U109 | 01 |
| 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 |
| 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 |
| 1497103618 | Mcleod Health Clarendon | Obstetrics & Gynecology | 50 E Hospital St, Suite 4, Manning, SC 29102-3149 | 2016-05-27 |
| 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 |
| 1205284411 | Mcleod Health Clarendon | General Acute Care Hospital | 10 E Hospital St, Manning, SC 29102-3153 | 2016-05-27 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168971 | Self Regional Healthcare Partners | Medicare Defined Swing Bed Unit | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1376840504 | Hampton Regional Medical Center - Swingbed | Medicare Defined Swing Bed Unit | 595 W. Carolina Ave, Varnville, SC 29944 | 2011-02-24 |
| 1487702973 | Fairfield Memorial Hospital | Medicare Defined Swing Bed Unit | 102 Us Hwy 321 Bypass N, Winnsboro, SC 29180 | 2007-01-08 |
| 1962975466 | Medical University Hospital Authority | Medicare Defined Swing Bed Unit | 2829 E Highway 76, Mullins, SC 29574-6035 | 2019-01-07 |
| 1124487541 | Mcleod Medical Center-dillon | Medicare Defined Swing Bed Unit | 301 E Jackson St, Dillon, SC 29536-2509 | 2016-02-12 |
| 1538547823 | Mcleod Health Cheraw | Medicare Defined Swing Bed Unit | 711 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2015-05-07 |
| 1760729370 | Rmc-barnwell Healthcare, Inc. | Medicare Defined Swing Bed Unit | 811 Reynolds Rd, Barnwell, SC 29812-1573 | 2013-01-16 |
| 1649525387 | Sc Regional Health System, LLC | Medicare Defined Swing Bed Unit | 811 Reynolds Rd, Barnwell, SC 29812-1573 | 2012-07-18 |
| 1932464708 | Qhg of South Carolina Inc | Medicare Defined Swing Bed Unit | 2829 E Highway 76, Mullins, SC 29574-6035 | 2012-07-09 |
| 1730468992 | Newberry County Memorial Hospital | Medicare Defined Swing Bed Unit | 2669 Kinard St, Newberry, SC 29108-2911 | 2011-08-05 |
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| 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.