Elijah Washington Medical Center is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Sheldon, South Carolina. The current practice location for Elijah Washington Medical Center is 211 Paige Point Road, Sheldon, South Carolina. For appointments, you can reach them via phone at
(843) 846-8748. The mailing address for Elijah Washington Medical Center is 721 N Okatie Hwy # 170, Ridgeland, South Carolina and phone number is (843) 987-7400.
Elijah Washington Medical Center is licensed to practice in South Carolina (license number FQC100) and its
NPI number is 1669726634. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(843) 846-8748.
Primary Care Clinic Profile
| Full Name | Elijah Washington Medical Center |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 211 Paige Point Road, Sheldon, South Carolina |
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| Authorized Official Name and Position | Roland J Gardner (CHIEF EXECUTIVE DIRECTOR) |
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| Authorized Official Contact | 8439877400 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Elijah Washington Medical Center
721 N Okatie Hwy # 170
Ridgeland
SC 29936-8276
Ph: (843) 987-7400 | Elijah Washington Medical Center
211 Paige Point Road
Sheldon
SC 29941
Ph: (843) 846-8748 |
NPI Details:
| NPI Number | 1669726634 |
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| Provider Enumeration Date | 10/30/2012 |
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| Last Update Date | 08/08/2016 |
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Medical Identifiers
Medical identifiers for Elijah Washington Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669726634 | NPI | - | NPPES |
| FQC100 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QC1500X | Clinic/center - Community Health | GP2554 (South Carolina) | Secondary |
| 261QD0000X | Clinic/center - Dental | 295441 (South Carolina) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | FQC100 (South Carolina) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | CBP005 (South Carolina) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | FQC100 (South Carolina) | Secondary |
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