NPIMap

Organization Active NPI

Clarendon Memorial Hospital

Doing business as Robert S Eagerton, Jr., MD Family Practice

  • Rural Health Clinic/Center
  • Manning, SC
National Provider Identifier
1821380197
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CLARENDON MEMORIAL HOSPITAL
Doing business as
Robert S Eagerton, Jr., MD Family Practice
Practice address
200 E Hospital St
Manning, SC 29102-3160
Phone
(803) 433-0439
Fax
(803) 433-9840
NPI assigned
May 5, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARENDON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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 of Community Clini
Phone
(803) 435-5270

Specialties & licenses 2

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

Addresses

Primary practice location

200 E Hospital St
Manning, SC 29102-3160

Mailing address

200 E Hospital St
Manning, SC 29102-3160
Phone (803) 433-0439

Other names 1

  • Robert S Eagerton, Jr., MD Family Practice 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": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1821380197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023160",
            "telephone_number": "803-433-0439",
            "fax_number": "803-433-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023160",
            "telephone_number": "803-433-0439",
            "fax_number": "803-433-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARENDON MEMORIAL HOSPITAL",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "NETTLES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIVISION MANAGER OF COMMUNITY CLINI",
        "authorized_official_telephone_number": "803-435-5270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert S Eagerton, Jr., MD Family Practice",
            "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 9, 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.