Caresouth Carolina Inc | |
1076 Marlboro Way Ste 1 Bennettsville SC 29512-2495 | |
(843) 454-2294 | |
Not Available |
Full Name | Caresouth Carolina Inc |
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Speciality | Clinic/Center |
Location | 1076 Marlboro Way Ste 1, Bennettsville, South Carolina |
Authorized Official Name and Position | Ann M Lewis (CEO) |
Authorized Official Contact | 8438570111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Caresouth Carolina Inc 1076 Marlboro Way Ste 1 Bennettsville SC 29512-2495 Ph: () - | Caresouth Carolina Inc 1076 Marlboro Way Ste 1 Bennettsville SC 29512-2495 Ph: (843) 454-2294 |
NPI Number | 1568859130 |
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Provider Enumeration Date | 04/22/2015 |
Last Update Date | 04/22/2015 |
Medicare PECOS PAC ID | 1052221314 |
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Medicare Enrollment ID | O20160502001443 |
Identifier | Type | State | Issuer |
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1568859130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Caresouth Carolina, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 Cheraw St, Bennettsville, SC 29512 Phone: 843-479-2341 | |