NPIMap

Organization Active NPI

Clarendon Memorial Hospital

Doing business as Manning Medicine

  • Family Medicine Physician
  • Manning, SC
National Provider Identifier
1326089590
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLARENDON MEMORIAL HOSPITAL
Doing business as
Manning Medicine
Practice address
50 Hospital St
Suite 4
Manning, SC 29102
Phone
(803) 435-5250
Fax
(803) 435-5255
NPI assigned
Jun 9, 2006
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARENDON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Nettles
Title
Director Community Clinics
Phone
(803) 435-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

50 Hospital St
Suite 4
Manning, SC 29102

Mailing address

50 Hospital St
Suite 4
Manning, SC 29102
Phone (803) 435-5250

Other names 1

  • Manning Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Clarenoon Memorial Hosp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1326089590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL ST",
            "address_2": "SUITE 4",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-435-5250",
            "fax_number": "803-435-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL ST",
            "address_2": "SUITE 4",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-435-5250",
            "fax_number": "803-435-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARENDON MEMORIAL HOSPITAL",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "NETTLES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR COMMUNITY CLINICS",
        "authorized_official_telephone_number": "803-435-5270"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manning Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manning, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.