Organization · Type 2 NPI

Clarendon Memorial Hospital

Rural Health Clinic/Center · Summerton, SC

NPI number 1710293873 Active

Practice location

1056 Felton St
Summerton, SC 29148-7169

Fax (803) 488-9358

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

K & M Care PCFamily Medicine Physician Summerton, SC NPI 1902577455
Miranda Kerley, MSN, APRN, FNP-CFamily Nurse Practitioner Summerton, SC NPI 1912671843

NPI record

NPI: 1710293873
Entity type: Organization (Type 2)
Issued: Aug 27, 2010
Last updated: Aug 27, 2010
Status: Active
Subpart: Yes of Clarendon Memorial Hospital

Other names

<unavail>
Dr. J. Daulton Dubose Medical Center · doing business as

Authorized official

Julie Nettles
Director of Community Clinics
(803) 435-5270

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710293873

Clarendon Memorial Hospital's National Provider Identifier is 1710293873, issued on Aug 27, 2010. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Summerton, SC. The record was last updated on Aug 27, 2010.