Organization
MCLEOD HEALTH CLARENDON
Active
Parent organization
MCLEOD HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL FULTON ERVIN III (SR VICE PRESIDENT AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
10 E HOSPITAL ST, MANNING, SC 29102-3153
(803) 435-8463
Mailing address
10 E HOSPITAL ST, MANNING, SC 29102-3153
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0930SB
—
SC
01
—
42-U109
MEDICARE
SC
05
—
C044NF
—
SC
Enumeration date
06/09/2016
Last updated
02/25/2019
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