CLARENDON MEMORIAL HOSPITAL (NPI# 1649555376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649555376 |
| Entity Type | Organization |
| Organization Name | CLARENDON MEMORIAL HOSPITAL |
| Other Organization Name | CLARENDON CARDIOVASCULAR ASSOCIATES |
| Practice Address |
21 E Hospital St Manning SC 29102-3152 |
| Practice Telephone | 8034355270 |
| Mailing Telephone | 8034353133 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |
| Authorized Official Name | MRS. JULIE S NETTLES (DIVISION MANAGER) |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clarendon Cardiovascular Associates | 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 |
21 E HOSPITAL ST |
| City | MANNING |
| State | SC |
| Zip Code | 29102-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366471104 | Palmetto Women's Healthcare Pa | Obstetrics & Gynecology | 21 E Hospital St, Manning, SC 29102-3152 | 2006-07-02 |
| 1669825394 | Mcleod Physician Associates II | Internal Medicine | 21 E Hospital St, Manning, SC 29102-3152 | 2016-07-18 |
| 1962704056 | Clarendon Memorial Hospital | Obstetrics & Gynecology | 21 E Hospital St, Manning, SC 29102-3152 | 2010-11-23 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669658357 | Clarendon Cardiology and Internal Medicine LLC | Internal Medicine | 210th East Boyce St., Manning, SC 29102-3441 | 2008-01-14 |
| 1669825394 | Mcleod Physician Associates II | Internal Medicine | 21 E Hospital St, Manning, SC 29102-3152 | 2016-07-18 |
| 1457319535 | Ramon Proctan Sy | Internal Medicine | 15 E Hospital St, Manning, SC 29102-3152 | 2006-05-01 |
| 1912964479 | Lake Marion Primary Care | Internal Medicine | 15 E Hospital St, Manning, SC 29102-3152 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366070237 | Richard Ying Lim | Internal Medicine | 1752 Greenspoint Ct, Mt Pleasant, SC 29466-8132 | 2020-03-27 |
| 1205499217 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste C, Gaffney, SC 29340-2319 | 2019-04-16 |
| 1316416688 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste B, Gaffney, SC 29340-2319 | 2018-11-16 |
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1649636390 | Jeffrey Clyde Sloan | Internal Medicine | 1565 Blanchard Bnd, Rock Hill, SC 29732-9658 | 2016-01-11 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1164821104 | Hilton Head Cardiology, Consultants, LLC | Internal Medicine | 25 Hospital Center Blvd Ste 309, Hilton Head, SC 29926-2739 | 2014-08-15 |
| 1033522610 | Ashley Arana Waring | Internal Medicine | 30 Courtney Drive Msc 592, Charleston, SC 29425-8905 | 2014-06-11 |
| 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.