Eb Ellington Elementary School | |
5540 Old Jacksonboro Rd Ravenel SC 29470-5201 | |
(843) 723-2570 | |
(843) 723-7011 |
Full Name | Eb Ellington Elementary School |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5540 Old Jacksonboro Rd, Ravenel, South Carolina |
Authorized Official Name and Position | Aretha R Jones (CEO) |
Authorized Official Contact | 8437224112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eb Ellington Elementary School 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | Eb Ellington Elementary School 5540 Old Jacksonboro Rd Ravenel SC 29470-5201 Ph: (843) 723-2570 |
NPI Number | 1144779182 |
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Provider Enumeration Date | 10/03/2016 |
Last Update Date | 10/28/2022 |
Identifier | Type | State | Issuer |
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1144779182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |