Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1213 Elm Street, Aynor, South Carolina |
Authorized Official Name and Position | Mary Ellen Artioli (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8432346946 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 Singleton Ridge Rd Attention Pns Credentialing Conway SC 29526-9142 Ph: (843) 234-6946 | 1213 Elm Street Aynor SC 29511 Ph: (843) 358-5806 |
NPI Number | 1467772400 |
---|---|
Provider Enumeration Date | 06/01/2010 |
Last Update Date | 08/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467772400 | NPI | - | NPPES |
RHC194 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 828 (South Carolina) | Primary |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Elm St, Aynor, SC 29511 Phone: 843-248-4700 | |