Palmetto Primary Care

LBN: Clarendon Memorial Hospital
Palmetto Primary Care is an health care organization with primary practice located at 22 Bozard St , Manning SC 29102-2935. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Clarendon Memorial Hospital can be contacted via phone (803) 435-5257, or through Bryson, Dale via phone (803) 435-5270.

Contact Information

Primary practice address
22 Bozard St Manning SC 29102-2935
Fax: (803) 435-5259
Website:
Authorized official contact:
Name: Bryson, Dale

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1366521874
LBN Legal business name Clarendon Memorial Hospital
DBA Doing business as Palmetto Primary Care
Authorized official Bryson, Dale
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jan 31st, 2008 - about 16 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 1366521874 NPPES
South Carolina MEDICAID RHC 161

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