Lake Moultrie Nursing Facility

LBN: Clarendon Memorial Hospital
Lake Moultrie Nursing Facility is an health care organization with primary practice located at 1038 Mcgill Ln , Saint Stephen SC 29479-3196. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Clarendon Memorial Hospital can be contacted via phone (843) 567-2307, or through Browder, Christie H via phone (803) 433-2005.

Contact Information

Primary practice address
1038 Mcgill Ln Saint Stephen SC 29479-3196
Fax: (843) 567-2305
Website:
Authorized official contact:
Name: Browder, Christie H

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCF738 South Carolina

Profile Details

NPI number 1043291263
LBN Legal business name Clarendon Memorial Hospital
DBA Doing business as Lake Moultrie Nursing Facility
Authorized official Browder, Christie H
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 8th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043291263 NPPES
South Carolina MEDICAID 0738NF

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