| Cayce West Columbia Primary Care | |
|
407 N Brown St West Columbia SC 29169-5710 | |
| (803) 995-8936 | |
| (803) 995-8851 |
| Full Name | Cayce West Columbia Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 407 N Brown St, West Columbia, South Carolina |
| Authorized Official Name and Position | Delgado Cantave (CEO) |
| Authorized Official Contact | 8037335969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cayce West Columbia Primary Care Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969 | Cayce West Columbia Primary Care 407 N Brown St West Columbia SC 29169-5710 Ph: (803) 995-8936 |
| NPI Number | 1538674254 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 02/03/2022 |
| Medicare PECOS PAC ID | 3274434220 |
|---|---|
| Medicare Enrollment ID | O20181207001380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538674254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Intramed Plus Infusion & Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169 Phone: 803-794-0200 Fax: 803-794-0404 | |
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