Caresouth Carolina Inc | |
737 S Main Street Society Hill SC 29593 | |
(843) 378-4501 | |
(843) 378-4209 |
Full Name | Caresouth Carolina Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 737 S Main Street, Society Hill, South Carolina |
Authorized Official Name and Position | Ann Lewis (CEO) |
Authorized Official Contact | 8438570111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Caresouth Carolina Inc 201 South Fifth St Hartsville SC 29550 Ph: (843) 857-0111 | Caresouth Carolina Inc 737 S Main Street Society Hill SC 29593 Ph: (843) 378-4501 |
NPI Number | 1174833511 |
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Provider Enumeration Date | 10/19/2010 |
Last Update Date | 03/20/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174833511 | NPI | - | NPPES |
ZA9329 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |