Clarendon Memorial Hospital

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CLARENDON MEMORIAL HOSPITAL

Doing business as

Clarendon Cardiovascular Associates

Practice address

21 E Hospital St
Manning, SC 29102-3152

Phone

(803) 435-5270

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CLARENDON MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mrs. Julie S Nettles

Title

Division Manager

Phone

(803) 435-5270

Specialties & licenses 1

Addresses

Other names 1

• Clarendon Cardiovascular Associates Doing business as

Part of

Clarenoon Memorial Hosp

Locations

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1649555376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023152",
            "telephone_number": "803-435-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023152",
            "telephone_number": "803-435-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARENDON MEMORIAL HOSPITAL",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "NETTLES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIVISION MANAGER",
        "authorized_official_telephone_number": "803-435-5270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarendon Cardiovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarendon Memorial Hospital (Clarendon Memorial Home Health)
• Clarendon Memorial Hospital (The Clarendon Clinic)
• Clarendon Memorial Hospital (Palmetto Primary Care)
• Clarendon Memorial Hospital (CHS-Musc)
• Clarendon Memorial Hospital (Clarendon Senior Health Care)
• Clarendon Memorial Hospital (Manning Medicine and Palmetto Women's Healthcare)
• Clarendon Memorial Hospital (Cypress Medical Supply)
• Clarendon Memorial Hospital (Robert S Eagerton, Jr., MD Family Practice)
• Clarendon Memorial Hospital
• Clarendon Memorial Hospital (Pain Management Clinic)

• Cardiovascular Disease Physician in Manning, SC
• Providers in Manning, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.