# CLARENDON MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Marion Health and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588645709
- **Authorized official:** MS. CHRISTIE H BROWDER (CFO)
- **Authorized official phone:** (803) 433-2005

## Contact information

- **Practice address:** 1527 URBANA RD, SUMMERTON, SC 29148-1159
- **Practice address phone:** (803) 485-2317
- **Practice address fax:** (803) 485-2708
- **Mailing address:** PO BOX 1159, SUMMERTON, SC 29148-1159
- **Mailing address phone:** (803) 485-2317
- **Mailing address fax:** (803) 485-2708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCF736 | SC | Yes |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 02/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0736NF | — | SC |