Blythewood Medical Associates | |
428 2 Mcnulty Road Blythewood SC 29016 | |
(803) 754-8941 | |
(803) 635-4200 |
Full Name | Blythewood Medical Associates |
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Speciality | Clinic/Center |
Location | 428 2 Mcnulty Road, Blythewood, South Carolina |
Authorized Official Name and Position | Harmon F Patrick (PRESIDENT) |
Authorized Official Contact | 8037548941 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blythewood Medical Associates Po Box 1218 Winnsboro SC 29180-5218 Ph: (803) 635-6461 | Blythewood Medical Associates 428 2 Mcnulty Road Blythewood SC 29016 Ph: (803) 754-8941 |
NPI Number | 1427242031 |
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Provider Enumeration Date | 08/28/2007 |
Last Update Date | 08/23/2022 |
Medicare PECOS PAC ID | 3072519289 |
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Medicare Enrollment ID | O20071012000365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427242031 | NPI | - | NPPES |
PA3996 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Blythewood Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 738 University Village Dr, Blythewood, SC 29016 Phone: 803-461-0270 Fax: 803-462-0275 | |
Amethyst Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Grey Pine Dr, Blythewood, SC 29016 Phone: 717-880-3740 | |
Crocodile Pharmacy Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 738 University Village Dr, Blythewood, SC 29016 Phone: 480-235-7788 | |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 Mcnulty St Ste 3, Blythewood, SC 29016 Phone: 803-754-8941 Fax: 803-635-4200 |