CLARENDON MEMORIAL HOSPITAL (NPI# 1366521874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366521874 |
| Entity Type | Organization |
| Organization Name | CLARENDON MEMORIAL HOSPITAL |
| Other Organization Name | PALMETTO PRIMARY CARE |
| Practice Address |
22 Bozard St Manning SC 29102-2935 |
| Mailing Address |
Po Box 137 Manning SC 29102-3149 |
| Practice Telephone | 8034355257 |
| Practice Fax Number | 8034355259 |
| Mailing Telephone | 8034355257 |
| Mailing Fax Number | 8034355259 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | MR. DALE BRYSON (DIRECTOR COMMUNITY CLINICS) |
| Authorized Official Telephone | 8034355270 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARENDON MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RHC 161 | 05 |
| Other Name | Type Code |
|---|---|
| PALMETTO PRIMARY CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114355344 | Clarendon Memorial Hospital | Internal Medicine | 619 S Mill St, Manning, SC 29102-2806 | 2013-10-25 |
| 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 |
| Street Address |
22 BOZARD ST |
| City | MANNING |
| State | SC |
| Zip Code | 29102-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730166430 | Lisa E Heichberger | Family Medicine | 22 Bozard St, Manning, SC 29102-2935 | 2005-12-23 |
| 1083067714 | Mcleod Physician Associates II | Internal Medicine | 22 Bozard St, Manning, SC 29102-2935 | 2016-07-18 |
| 1497104525 | Mcleod Health Clarendon | Family Medicine | 22 Bozard St, Manning, SC 29102-2935 | 2016-06-09 |
| 1104243518 | Amber Nicole Ballentine | Nurse Practitioner | 22 Bozard St, Manning, SC 29102-2935 | 2014-03-24 |
| 1205069770 | Susanne P Johnson | Nurse Practitioner | 22 Bozard St, Manning, SC 29102-2935 | 2009-08-31 |
| 1932303708 | Anne Christina Zimmerman | Family Medicine | 22 Bozard St, Manning, SC 29102 | 2007-06-13 |
| 1780658195 | Mcleod Physician Associates, Inc. | Family Medicine | 22 Bozard St, Manning, SC 29102-2935 | 2006-02-14 |
| 1598738593 | Clarence E Coker Jr. | Family Medicine | 22 Bozard St, Manning, SC 29102-2935 | 2006-02-09 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528316585 | Clarendon Memorial Hospital | Clinic/Center | 10 E Hospital St, Suite 100, Manning, SC 29102-3153 | 2012-08-23 |
| 1336413681 | Clarendon Memorial Hospital | Clinic/Center | 200 E Hospital St, Manning, SC 29102-3160 | 2012-03-05 |
| 1528362910 | Manning Regional Healthcare Center | Clinic/Center | 1550 6th St, Manning, IA 51455-1004 | 2010-12-29 |
| 1700093705 | Robert S. Eagerton, Jr. M.d.,llc | Clinic/Center | 200 E Hospital St, Manning, SC 29102-3160 | 2007-05-17 |
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| 1962969154 | The Palmetto Palace | Clinic/Center | 217 Flat St E, Allendale, SC 29810-4647 | 2019-02-25 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1043602428 | Greenville Health System | Clinic/Center | 208 Frontage Rd Ste 1, Clemson, SC 29631-1671 | 2015-02-23 |
| 1114204153 | Mcleod Physician Associates II | Clinic/Center | 5260 Highway 9, Green Sea, SC 29545-4930 | 2011-11-04 |
| 1700160157 | Mackey Family Practice, Pa | Clinic/Center | 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707-6552 | 2011-10-04 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1124307509 | Coastal Carolina Medical Center, Inc | Clinic/Center | 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936-2729 | 2011-08-16 |
| Find all providers with the same taxonomy | ||||
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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.