Active NPI
Clarendon Memorial Hospital
Doing business as Pain Management Clinic
- Neurological Surgery Physician
- Manning, SC
National Provider Identifier
1841350451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 11271
- Legal business name
- CLARENDON MEMORIAL HOSPITAL
- Doing business as
- Pain Management Clinic
- Practice address
- 20 Hospital St
Manning, SC 29102 - Phone
- (803) 435-5256
- Fax
- (803) 435-5259
- NPI assigned
- Dec 12, 2006
- Last updated
- Feb 14, 2008
- Organization subpart
- Yes
- Parent organization
- CLARENDON MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Stokes
- Title
- Cfo
- Phone
- (803) 435-3235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 11271 | SC | Primary |
Addresses
Primary practice location
20 Hospital St
Manning, SC 29102
Mailing address
20 Hospital St
Manning, SC 29102
Phone (803) 435-5256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4630 | Medicaid | SC |
Other names 1
- Pain Management Clinic
National Provider Directory
National Provider Directory- Part of
- Clarenoon Memorial Hosp
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202947200000",
"number": "1841350451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOSPITAL ST",
"city": "MANNING",
"state": "SC",
"postal_code": "29102",
"telephone_number": "803-435-5256",
"fax_number": "803-435-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL ST",
"city": "MANNING",
"state": "SC",
"postal_code": "29102",
"telephone_number": "803-435-5256",
"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": "2006-12-12",
"last_updated": "2008-02-14",
"status": "A",
"authorized_official_last_name": "STOKES",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "803-435-3235"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "SC",
"license": "11271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4630",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pain Management Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Manning, SC
- Clarendon Memorial Hospital (Clarendon Cardiovascular Associates)
- 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 (Clarendon Chronic Disease Center)
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital (Clarendon Orthopaedic Associates)
- Clarendon Memorial Hospital (Palmetto Women's Healthcare)
- Clarendon Memorial Hospital Dba Cypress Transport
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.