Active NPI
Clarendon Memorial Hospital
Doing business as Palmetto Women's Healthcare
- Obstetrics & Gynecology Physician
- Manning, SC
National Provider Identifier
1962704056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CLARENDON MEMORIAL HOSPITAL
- Doing business as
- Palmetto Women's Healthcare
- Practice address
- 21 E Hospital St
Manning, SC 29102-3152 - Phone
- (803) 433-0797
- Fax
- (803) 433-0896
- NPI assigned
- Nov 23, 2010
- Last updated
- Jan 19, 2011
- 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
- Mrs. Julie S Nettles
- Title
- Director
- Phone
- (803) 435-5270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
21 E Hospital St
Manning, SC 29102-3152
Mailing address
21 E Hospital St
Manning, SC 29102-3152
Phone (803) 433-0797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5575 | Medicaid | SC |
Other names 1
- Palmetto Women's Healthcare
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": "1290470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295395200000",
"number": "1962704056",
"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": "803-433-0797",
"fax_number": "803-433-0896"
},
{
"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": "803-433-0797",
"fax_number": "803-433-0896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARENDON MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLARENDON MEMORIAL HOSPITAL",
"enumeration_date": "2010-11-23",
"last_updated": "2011-01-19",
"status": "A",
"authorized_official_last_name": "NETTLES",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-435-5270",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5575",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmetto Women's Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manning, SC
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital (Pain Management Clinic)
- Clarendon Memorial Hospital (Clarendon Chronic Disease Center)
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital (Clarendon Orthopaedic Associates)
- Clarendon Memorial Hospital Dba Cypress Transport
- Clarendon School District Two
- Georgina G Coffey, D.M.D.
- Sonam Kuber Cogdill
- Clarence E Coker Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.