| Calhoun Falls Family Practice | |
|
535 Jackson St Calhoun Falls SC 29628-1222 | |
| (864) 418-8578 | |
| (864) 418-8203 |
| Full Name | Calhoun Falls Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 535 Jackson St, Calhoun Falls, South Carolina |
| Authorized Official Name and Position | Lisa Y Gilmer (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8649418121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calhoun Falls Family Practice 535 Jackson St Calhoun Falls SC 29628-1222 Ph: (864) 418-8578 | Calhoun Falls Family Practice 535 Jackson St Calhoun Falls SC 29628-1222 Ph: (864) 418-8578 |
| NPI Number | 1871626259 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 10/04/2016 |
| Medicare PECOS PAC ID | 5496707804 |
|---|---|
| Medicare Enrollment ID | O20110119000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871626259 | NPI | - | NPPES |
| FQC017 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |