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Contact Information

CLARENDON BEHAVIORAL HEALTH
14 N. CHURCH STREET
MANNING, SC29102
 Phone: 803-435-2121
 Fax: 803-435-8856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for CLARENDON BEHAVIORAL HEALTH

NPI Number 1629529698
LBN Legal business name CLARENDON BEHAVIORAL HEALTH
Authorized official ANN KIRVEN - (INTERUM CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/14/2016
Last updated 10/14/2016 - About 10 years ago
Identifiers
SC Medicaid 1730176934
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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