Estill Medical Center is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Estill, South Carolina. The current practice location for Estill Medical Center is 776 2nd St E, Estill, South Carolina. For appointments, you can reach them via phone at
(803) 625-2548. The mailing address for Estill Medical Center is 721 N Okatie Hwy # 170, Ridgeland, South Carolina and phone number is (843) 987-7400.
Estill Medical Center is licensed to practice in South Carolina (license number FQC101) and its
NPI number is 1598019341. 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
(803) 625-2548.
Primary Care Clinic Profile
| Full Name | Estill Medical Center |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 776 2nd St E, Estill, South Carolina |
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| Authorized Official Name and Position | Roland J Gardner (CHIEF EXECUTIVE OFFICER) |
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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 |
|---|
Estill Medical Center
721 N Okatie Hwy # 170
Ridgeland
SC 29936-8276
Ph: (843) 987-7400 | Estill Medical Center
776 2nd St E
Estill
SC 29918-4926
Ph: (803) 625-2548 |
NPI Details:
| NPI Number | 1598019341 |
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| Provider Enumeration Date | 11/01/2012 |
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| Last Update Date | 08/08/2016 |
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Medical Identifiers
Medical identifiers for Estill Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598019341 | NPI | - | NPPES |
| FQC101 | 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) | FQC101 (South Carolina) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | FQC101 (South Carolina) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | CBP005 (South Carolina) | Secondary |
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