| |
1547 Parkway Ste 200, Rm 306, 302 Greenwood SC 29646-4081 | |
(864) 330-8240 | |
(864) 943-1120 |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1547 Parkway Ste 200, Rm 306, 302, Greenwood, South Carolina |
Authorized Official Name and Position | Lisa Y Gilmer (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 8649418121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
313 Main St Ste B Greenwood SC 29646-2757 Ph: (864) 330-8240 | 1547 Parkway Ste 200, Rm 306, 302 Greenwood SC 29646-4081 Ph: (864) 330-8240 |
NPI Number | 1205511482 |
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Provider Enumeration Date | 06/16/2023 |
Last Update Date | 01/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205511482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Carolina Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Main St, Greenwood, SC 29646 Phone: 864-396-0117 Fax: 864-388-0648 | |
Hands Of Hope Children's Therapy Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maxwell Ave, Greenwood, SC 29646 Phone: 864-993-3302 |