Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 51 11th Ave, Aynor, South Carolina |
Authorized Official Name and Position | Mary Ellen Artioli (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8432346946 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
300 Singleton Ridge Rd Attention Pns Credentialing Conway SC 29526-9142 Ph: (843) 234-6946 | 51 11th Ave Aynor SC 29511-3249 Ph: (843) 358-3700 |
NPI Number | 1821335068 |
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Provider Enumeration Date | 01/08/2013 |
Last Update Date | 12/28/2023 |
Medicare PECOS PAC ID | 9830087774 |
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Medicare Enrollment ID | O20130531000475 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821335068 | NPI | - | NPPES |
GP6275 | Medicaid | SC | |
RHC224 | Medicaid | SC |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Elm St, Aynor, SC 29511 Phone: 843-248-4700 | |