Organization · Type 2 NPI

McLeod Health Clarendon

Rural Health Clinic/Center · Manning, SC

NPI number 1962851097 Active

Practice location

200 E Hospital St
Manning, SC 29102-3160

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

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

7 other providers at this address

Clarendon Memorial HospitalRural Health Clinic/Center Manning, SC NPI 1336413681
Clarendon Memorial HospitalRural Health Clinic/Center Manning, SC NPI 1821380197
McLeod Physician Associates IIFamily Medicine Physician Manning, SC NPI 1770936411
Robert S. Eagerton, Jr. M.d.,llcRural Health Clinic/Center Manning, SC NPI 1700093705
Amber Newman, APRNFamily Nurse Practitioner Manning, SC NPI 1467933861
Carmen Cribb Roberts, DOFamily Medicine Physician Manning, SC NPI 1659722411
Robert S. Eagerton Jr., MDFamily Medicine Physician Manning, SC NPI 1558366039

Other rural health clinic/center providers in Manning

See all in Manning →

NPI record

NPI: 1962851097
Entity type: Organization (Type 2)
Issued: Jun 9, 2016
Last updated: Apr 17, 2020
Status: Active
Subpart: Yes of McLeod Health

Other names

<unavail>
Eagerton Family Medicine · doing business as
McLeod Family Medicine-Dr. Eagerton, Jr. · doing business as

Authorized official

Mr. Samuel Fulton Ervin
SR Vice President and CFO
(843) 777-2910

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 1962851097

McLeod Health Clarendon's National Provider Identifier is 1962851097, issued on Jun 9, 2016. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Manning, SC. The record was last updated on Apr 17, 2020.