NPIMap

Organization Active NPI

Clarendon Memorial Hospital

Doing business as Manning Medicine and Palmetto Women's Healthcare

  • Family Medicine Physician
  • Manning, SC
National Provider Identifier
1700965217
Registry record updated Jun 30, 2011
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 and Palmetto Women's Healthcare
Practice address
50 E. Hospital St.
Suite 4
Manning, SC 29102-3149
Phone
(803) 435-5257
Fax
(803) 435-5259
NPI assigned
Nov 3, 2006
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARENDON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Mr. Julie Nettles
Title
Director/Division Manager Community
Phone
(803) 435-5270

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X
Family Medicine Physician 207Q00000X Primary
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

50 E. Hospital St.
Suite 4
Manning, SC 29102-3149

Mailing address

50 E. Hospital St.
Suite 4
Manning, SC 29102-3149
Phone (803) 435-5257

Other identifiers 1

IdentifierTypeStateIssuer
RHC 532MedicaidSC

Other names 1

  • Manning Medicine and Palmetto Women's Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarenoon Memorial Hosp14 organizations share this tax ID, including this one
Part of
Clarenoon Memorial Hosp

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1700965217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E. HOSPITAL ST.",
            "address_2": "SUITE 4",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023149",
            "telephone_number": "803-435-5257",
            "fax_number": "803-435-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E. HOSPITAL ST.",
            "address_2": "SUITE 4",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023149",
            "telephone_number": "803-435-5257",
            "fax_number": "803-435-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARENDON MEMORIAL HOSPITAL",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "NETTLES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR/DIVISION MANAGER COMMUNITY",
        "authorized_official_telephone_number": "803-435-5270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC 532",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manning Medicine and Palmetto Women's Healthcare",
            "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 Jun 30, 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.