Mcleod Health Clarendon

LBN: Mcleod Health Clarendon
Mcleod Health Clarendon is an health care organization with primary practice located at 10 E Hospital St , Manning SC 29102-3153. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Mcleod Health Clarendon can be contacted via phone (803) 435-8463, or through Ervin, Samuel Fulton via phone (843) 777-2910.

Contact Information

Primary practice address
10 E Hospital St Manning SC 29102-3153
Phone: (803) 435-8463
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ervin, Samuel Fulton
Phone: (843) 777-2910

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X

Profile Details

NPI number 1205284411
LBN Legal business name Mcleod Health Clarendon
DBA Doing business as
Authorized official Ervin, Samuel Fulton
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2016
Last updated Apr 17th, 2020 - about 6 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 1205284411 NPPES
South Carolina Other 42-0109 MEDICARE
South Carolina MEDICAID AL0930 MEDICARE
South Carolina MEDICAID BL0930 MEDICARE

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