Caresouth Carolina, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lake View, South Carolina. The current practice location for Caresouth Carolina, Inc. is 103 Kemper Street, Lake View, South Carolina. For appointments, you can reach them via phone at
(843) 759-2189. The mailing address for Caresouth Carolina, Inc. is Po Box 1090, Hartsville, South Carolina and phone number is () -.
Caresouth Carolina, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1780627943. 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
(843) 759-2189.
Primary Care Clinic Profile
| Full Name | Caresouth Carolina, Inc. |
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| Speciality | Clinic/Center |
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| Location | 103 Kemper Street, Lake View, South Carolina |
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| Authorized Official Name and Position | Ann Lewis (CEO) |
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| Authorized Official Contact | 8438570111 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Caresouth Carolina, Inc.
Po Box 1090
Hartsville
SC 29551-1090
Ph: () - | Caresouth Carolina, Inc.
103 Kemper Street
Lake View
SC 29563
Ph: (843) 759-2189 |
NPI Details:
| NPI Number | 1780627943 |
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| Provider Enumeration Date | 06/14/2006 |
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| Last Update Date | 09/04/2007 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1052221314 |
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| Medicare Enrollment ID | O20030530000008 |
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Medical Identifiers
Medical identifiers for Caresouth Carolina, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780627943 | NPI | - | NPPES |
| CBP013 | Medicaid | SC | |
| FQC003 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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