| Affordable Health Care Llc | |
|
150 State St Bluffton SC 29910-9691 | |
| (843) 757-5559 | |
| (843) 757-5546 |
| Full Name | Affordable Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 State St, Bluffton, South Carolina |
| Authorized Official Name and Position | Jennifer J Green (OWNER) |
| Authorized Official Contact | 8437575559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Health Care Llc Po Box 1499 Bluffton SC 29910-1499 Ph: (843) 757-5559 | Affordable Health Care Llc 150 State St Bluffton SC 29910-9691 Ph: (843) 757-5559 |
| NPI Number | 1417195553 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 01/28/2021 |
| Medicare PECOS PAC ID | 7113080243 |
|---|---|
| Medicare Enrollment ID | O20090115000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417195553 | NPI | - | NPPES |
| NP1272 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 2999 (South Carolina) | Primary |
| Provider Name | Jennifer J Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013030824 PECOS PAC ID: 6305909433 Enrollment ID: I20090115000123 |
| Provider Name | Kimberly Ann Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255656070 PECOS PAC ID: 7416080486 Enrollment ID: I20100728000911 |
| Provider Name | Judy Loon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851539373 PECOS PAC ID: 8123207222 Enrollment ID: I20110121000145 |
| Provider Name | Denise Santoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841413960 PECOS PAC ID: 8325207392 Enrollment ID: I20120310000043 |
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