Hopehealth Kingstree | |
520 Thurgood Marshall Hwy Suite B Kingstree SC 29556-4108 | |
(843) 355-5628 | |
(843) 355-5616 |
Full Name | Hopehealth Kingstree |
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Speciality | Clinic/Center |
Location | 520 Thurgood Marshall Hwy, Kingstree, South Carolina |
Authorized Official Name and Position | Mark Vinson (CFO) |
Authorized Official Contact | 8436560353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hopehealth Kingstree 360 N Irby St Florence SC 29501-2808 Ph: (843) 667-9414 | Hopehealth Kingstree 520 Thurgood Marshall Hwy Suite B Kingstree SC 29556-4108 Ph: (843) 355-5628 |
NPI Number | 1568704583 |
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Provider Enumeration Date | 03/18/2013 |
Last Update Date | 10/02/2024 |
Medicare PECOS PAC ID | 4082510623 |
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Medicare Enrollment ID | O20130507000061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568704583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kingstree Family Dentisry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Longstreet St, Kingstree, SC 29556 Phone: 843-355-5554 | |
Kingstree Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-356-2955 | |
Lucius F Wates Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-355-9295 Fax: 843-355-9296 |