<unavail> in Clover, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Clover, South Carolina. The current practice location for is 300 Clinton Ave, Clover, South Carolina. For appointments, you can reach them via phone at (803) 909-6363. The mailing address for is 455 Lakeshore Pkwy, Rock Hill, South Carolina and phone number is () -.

is licensed to practice in South Carolina (license number 42-1035). The clinic also participates in the medicare program and its NPI number is 1073986394. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 909-6363.

Contact Information


	300 Clinton Ave Clover SC 29710-1627
	(803) 909-6363
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	300 Clinton Ave, Clover, South Carolina
Authorized Official Name and Position	Anita M Case (EXECUTIVE DIRECTOR)
Authorized Official Contact	8039099710
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
455 Lakeshore Pkwy Rock Hill SC 29730-4205 Ph: () -	300 Clinton Ave Clover SC 29710-1627 Ph: (803) 909-6363

NPI Details:

NPI Number	1073986394
Provider Enumeration Date	11/09/2015
Last Update Date	09/23/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	9638101272
Medicare Enrollment ID	O20160211002588

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073986394	NPI	-	NPPES
FQC190	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	42-1035 (South Carolina)	Primary

Reviews and Comments

Clinic/Center in Clover, SC

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- Medicare Primary Care in Clover, SC