<unavail> in West Columbia, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in West Columbia, South Carolina. The current practice location for is 500 N 12th St, West Columbia, South Carolina. For appointments, you can reach them via phone at (803) 217-0415. The mailing address for is Po Box 3788, Columbia, South Carolina and phone number is (803) 733-5969.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629381678. 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) 217-0415.

Contact Information


	500 N 12th St West Columbia SC 29169-6502
	(803) 217-0415
	(803) 939-1650

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	500 N 12th St, West Columbia, South Carolina
Authorized Official Name and Position	Delgado Cantave (CEO)
Authorized Official Contact	8037335969
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969	500 N 12th St West Columbia SC 29169-6502 Ph: (803) 217-0415

NPI Details:

NPI Number	1629381678
Provider Enumeration Date	07/20/2010
Last Update Date	02/03/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	3274434220
Medicare Enrollment ID	O20121030000255

Medical Identifiers

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

Identifier	Type	State	Issuer
1629381678	NPI	-	NPPES
421843	Other	SC	GROUP PTAN
FQC031	Medicaid	SC
FQC151	Medicaid	SC
CBP018	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in West Columbia, SC

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102
Jay M Markowitz Md & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Saluda Ridge Ct, West Columbia, SC 29169 Phone: 803-794-3320 Fax: 803-794-3157
Senior Health Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd Ste 303, West Columbia, SC 29169 Phone: 803-936-7505
Intramed Plus Infusion & Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169 Phone: 803-794-0200 Fax: 803-794-0404
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 East Medical Lane, West Columbia, SC 29169 Phone: 803-936-7210 Fax: 803-736-8854
Select Physicians Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169 Phone: 803-796-6490

- Medicare Primary Care in West Columbia, SC