Clarendon Behavioral Health
Organization Active NPI Health Maintenance Organization · Manning, SC
NPI 1629529698 · NPPES record last updated Oct 14, 2016
Key facts
- NPI
- 1629529698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- Legal business name
- CLARENDON BEHAVIORAL HEALTH
- Practice address
- 14 N. Church Street
Manning, SC 29102 - Phone
- (803) 435-2121
- Fax
- (803) 435-8856
- NPI assigned
- Oct 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Ann Kirven
- Title
- Interum Ceo
- Phone
- (803) 435-2121
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Clarendon Behavioral Health
Locations
14 N Church St
Manning, SC 29102
Phone (803) 435-2121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | SC | Yes |
Addresses
Primary practice location
14 N. Church Street
Manning, SC 29102
Mailing address
14 N. Church Street
Manning, SC 29102
Phone (803) 435-2121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730176934 | Medicaid | SC |
Other providers in Manning, SC
- Susan Edith Caulkins
- Kerry Chandler
- Thomas Mark Chappell
- Regis Joel Chauvot
- Claendon School District Two Office of Special Services
- Clarendon Cardiology and Internal Medicine LLC
- Clarendon Chiropractic
- Clarendon County Commission on Alcohol and Drug Abuse
- Clarendon County Council on Aging
- Clarendon County DSN Board
All providers in Manning, SC · Health Maintenance Organization in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.