Clarendon Memorial Hospital
Organization Active NPI Emergency Medicine Physician · Manning, SC
NPI 1831270974 · NPPES record last updated Oct 29, 2007
Key facts
- NPI
- 1831270974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- HTL 012 (SC)
- Legal business name
- CLARENDON MEMORIAL HOSPITAL
- Practice address
- 10 Hospital Street
Manning, SC 29102-3153 - Phone
- (803) 435-8463
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard W Stokes
- Title
- Chief Financial Officer
- Phone
- (803) 435-8463
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Emergency Medicine Physician |
207P00000X | HTL 012 | SC | Yes |
Addresses
Primary practice location
10 Hospital Street
Manning, SC 29102-3153
Mailing address
PO Box 550
Manning, SC 29102-0550
Phone (803) 435-8463
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400694 | Medicaid | SC |
Other providers in Manning, SC
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
All providers in Manning, SC · Emergency Medicine Physician 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 29, 2007. 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.