| Blue Granite Medical Center | |
|
880 West Moultrie Street Suite 3 Winnsboro SC 29180-2411 | |
| (803) 635-0288 | |
| (803) 635-0262 |
| Full Name | Blue Granite Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 880 West Moultrie Street, Winnsboro, South Carolina |
| Authorized Official Name and Position | Michael L. Williams (ADMINISTRATOR) |
| Authorized Official Contact | 8036350233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Granite Medical Center P.o. Box 620 Winnsboro SC 29180-0620 Ph: (803) 635-0288 | Blue Granite Medical Center 880 West Moultrie Street Suite 3 Winnsboro SC 29180-2411 Ph: (803) 635-0288 |
| NPI Number | 1992018691 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992018691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | HTL-154 (South Carolina) | Primary |
Winnsboro Pediatrics & Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1136 Kincaid Bridge Rd, Ste. A, Winnsboro, SC 29180 Phone: 803-635-1052 Fax: 803-712-9724 | |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 880 West Moultrie St., Suite 200, Winnsboro, SC 29180 Phone: 803-635-6487 Fax: 803-635-6089 | |
Rapha Wells Primary Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Kincaid Bridge Rd, Winnsboro, SC 29180 Phone: 803-402-0558 | |
John A Martin Primary Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Us Hwy 321 Bypass N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Ph Family Medicine Winnsboro Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Ph Family Medicine Winnsboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Fairfield Medical 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 W Moultrie St, Winnsboro, SC 29180 Phone: 803-635-6461 Fax: 803-635-4200 |