Caresouth Carolina, Inc | |
545 Sumter Hwy Bishopville SC 29010-7601 | |
(803) 484-5317 | |
Not Available |
Full Name | Caresouth Carolina, Inc |
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Speciality | Clinic/Center |
Location | 545 Sumter Hwy, Bishopville, South Carolina |
Authorized Official Name and Position | Ann 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 Po Box 1090 Hartsville SC 29551-1090 Ph: () - | Caresouth Carolina, Inc 545 Sumter Hwy Bishopville SC 29010-7601 Ph: (803) 484-5317 |
NPI Number | 1942247846 |
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Provider Enumeration Date | 05/31/2006 |
Last Update Date | 10/03/2024 |
Medicare PECOS PAC ID | 1052221314 |
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Medicare Enrollment ID | O20101006000484 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942247846 | NPI | - | NPPES |
CBP010 | Medicaid | SC | |
FQC014 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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