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NPI Code Detail

MEDICARE: CLARENDON MEMORIAL HOSPITAL

MEDICARE: CLARENDON MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1336413681
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARENDON MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 200 E HOSPITAL ST
Second Line :
City : MANNING
State : SC
Zip : 29102-3160
Country : US
Telephone Number : 803-433-0439
Fax Number : 803-433-9840
Provider Business Practice Location Address
First Line : 200 E HOSPITAL ST
Second Line :
City : MANNING
State : SC
Zip : 29102-3160
Country : US
Telephone Number : 803-433-0439
Fax Number : 803-433-9840
Authorized Official
Title or Position : DIRECTOR
Name : MRS. JULIE S NETTLES
Credential :
Telephone Number : 803-435-5270
Provider Enumeration Date : 03/05/2012
Last Update Date : 03/05/2012

Similar Medicare Providers

1558366039 — DR. ROBERT S EAGERTON JR. M.D.
Practice Location Address:
200 E HOSPITAL ST
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Practice Fax: 803-433-9840
1700093705 — ROBERT S. EAGERTON, JR. M.D.,LLC
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1225291206 — MANNING DIAGNOSTICS LLC
Practice Location Address:
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Practice Fax:
1821380197 — CLARENDON MEMORIAL HOSPITAL
Practice Location Address:
200 E HOSPITAL ST
MANNING, SC
29102-3160
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Practice Fax: 803-433-9840
1962851097 — MCLEOD HEALTH CLARENDON
Practice Location Address:
200 E HOSPITAL ST
MANNING, SC
29102-3160
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Practice Fax:
1659722411 — DR. CARMEN CRIBB ROBERTS D.O.
Practice Location Address:
200 E HOSPITAL ST
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29102-3160
Practice Phone: 803-433-0439
Practice Fax: 803-433-9840

Directions to “CLARENDON MEMORIAL HOSPITAL ” Practice Location

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