Family Health Care | |
120 Darlington Drive Aiken SC 29803 | |
(803) 641-1404 | |
Not Available |
Full Name | Family Health Care |
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Speciality | Clinic/Center |
Location | 120 Darlington Drive, Aiken, South Carolina |
Authorized Official Name and Position | Carolyn Emanuel- Mcclain (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8033807012 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Health Care 120 Darlington Drive Aiken SC 29803 Ph: (803) 641-1404 | Family Health Care 120 Darlington Drive Aiken SC 29803 Ph: (803) 641-1404 |
NPI Number | 1053362111 |
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Provider Enumeration Date | 05/13/2006 |
Last Update Date | 05/08/2012 |
Medicare PECOS PAC ID | 8527046010 |
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Medicare Enrollment ID | O20040712000202 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053362111 | NPI | - | NPPES |
046051 | Medicaid | SC | |
FQC095 | Medicaid | SC | |
RHC078 | Other | SC MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Amanda B Salas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831128958 PECOS PAC ID: 1254389570 Enrollment ID: I20050217000557 |
Provider Name | Kenneth P Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548344096 PECOS PAC ID: 6709895261 Enrollment ID: I20060411000304 |
Provider Name | Sandra J Stephens |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1093738676 PECOS PAC ID: 9133213317 Enrollment ID: I20080125000010 |
Provider Name | Michael D Fulford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093734469 PECOS PAC ID: 7113084757 Enrollment ID: I20090325000649 |
Provider Name | Jose Agustin Luis |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1730272410 PECOS PAC ID: 5890828503 Enrollment ID: I20100802000833 |
Provider Name | Lloyd Barry Daniels |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1124079280 PECOS PAC ID: 6608882832 Enrollment ID: I20100830000718 |
Provider Name | Jemetta S Harvey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962757302 PECOS PAC ID: 5991953515 Enrollment ID: I20120924000245 |
Provider Name | Victoria Stoeppler |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1720080104 PECOS PAC ID: 9335031178 Enrollment ID: I20150710001551 |
Provider Name | Tara Earthel Hook |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871938910 PECOS PAC ID: 8123397767 Enrollment ID: I20170713000470 |
Provider Name | Fantasia Izolia Chandler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578055471 PECOS PAC ID: 1951659051 Enrollment ID: I20180807000117 |
Provider Name | Chaunesse N Greene |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578011771 PECOS PAC ID: 2769735463 Enrollment ID: I20181026000237 |
Provider Name | Benjamin Cohen |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1497947733 PECOS PAC ID: 7810065364 Enrollment ID: I20200421001941 |
Provider Name | Lamesha Camielle Farmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558942052 PECOS PAC ID: 2466861943 Enrollment ID: I20210513001131 |
Provider Name | Burgess M Mauldin |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013244664 PECOS PAC ID: 5698802593 Enrollment ID: I20240208000488 |
Provider Name | Natalie Nicole Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053738013 PECOS PAC ID: 9436475530 Enrollment ID: I20240222000509 |
Provider Name | Adam Solomon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093110231 PECOS PAC ID: 2567822398 Enrollment ID: I20240222000639 |
Provider Name | Haley D Murray |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336595933 PECOS PAC ID: 2466743984 Enrollment ID: I20240223002819 |
Provider Name | Michelle Davignon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275091712 PECOS PAC ID: 3870938186 Enrollment ID: I20240227000764 |
Provider Name | Brianna Sample |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972173813 PECOS PAC ID: 5698110815 Enrollment ID: I20240228000431 |
Provider Name | Lexus Lewis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962982793 PECOS PAC ID: 6204271448 Enrollment ID: I20240228000933 |
Provider Name | Justin Cherepy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578347050 PECOS PAC ID: 3779920574 Enrollment ID: I20240327003837 |
East Aiken Health Center L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1847 Hatchaway Bridge Rd, East Aiken Health Center, Aiken, SC 29805 Phone: 803-644-7033 Fax: 803-644-8250 | |
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