Emmanuel Family Clinic-saluda | |
501 W Butler Ave Saluda SC 29138-1313 | |
(864) 445-2250 | |
(864) 445-7332 |
Full Name | Emmanuel Family Clinic-saluda |
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Speciality | Family Medicine |
Location | 501 W Butler Ave, Saluda, South Carolina |
Authorized Official Name and Position | Gisella E Godoy (PHYSICIAN) |
Authorized Official Contact | 8644452250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emmanuel Family Clinic-saluda 501 W Butler Ave Saluda SC 29138-1313 Ph: (864) 445-2250 | Emmanuel Family Clinic-saluda 501 W Butler Ave Saluda SC 29138-1313 Ph: (864) 445-2250 |
NPI Number | 1215914676 |
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Provider Enumeration Date | 12/28/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9234296955 |
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Medicare Enrollment ID | O20090325000358 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215914676 | NPI | - | NPPES |
T83291 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Franco Bernard Godoy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174500656 PECOS PAC ID: 7012936313 Enrollment ID: I20051116000309 |
Provider Name | Gisella E Godoy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821075185 PECOS PAC ID: 7113084823 Enrollment ID: I20090325000272 |
Provider Name | Candace V Lawer-johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720450901 PECOS PAC ID: 9436457942 Enrollment ID: I20160418001182 |
Saluda Family Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Rl Sawyer Md Drive, Saluda, SC 29138 Phone: 864-445-2173 Fax: 864-445-9158 | |
Riley Family Practice Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Newberry Hwy, Saluda, SC 29138 Phone: 864-445-2500 Fax: 864-445-3956 | |
Family Healthcare North Saluda, A Division Of Self Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3165 Newberry Hwy, Saluda, SC 29138 Phone: 864-445-2500 Fax: 864-445-3956 | |
Family Healthcare South Saluda, A Division Of Self Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 R L Sawyer Md Dr, Saluda, SC 29138 Phone: 864-445-2173 Fax: 864-445-9158 | |
Family Healthcare North Saluda, A Division Of Self Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3165 Newberry Hwy, Saluda, SC 29138 Phone: 864-445-2500 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Ramage St, Saluda, SC 29138 Phone: 864-445-2968 |