<unavail> in Blackville, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Blackville, South Carolina. The current practice location for is 130 Baker Street, Blackville, South Carolina. For appointments, you can reach them via phone at (803) 284-1045. The mailing address for is 86 Wren St, Barnwell, South Carolina and phone number is (803) 259-5762.

is licensed to practice in South Carolina (license number ). The clinic also participates in the medicare program and its NPI number is 1235225608. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 284-1045.

Contact Information


	130 Baker Street Blackville SC 29817
	(803) 284-1045
	(803) 284-3094

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	130 Baker Street, Blackville, South Carolina
Authorized Official Name and Position	Ashley L Barnes (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	8036322533
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
86 Wren St Barnwell SC 29812-1529 Ph: (803) 259-5762	130 Baker Street Blackville SC 29817 Ph: (803) 284-1045

NPI Details:

NPI Number	1235225608
Provider Enumeration Date	10/05/2006
Last Update Date	01/11/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4284530940
Medicare Enrollment ID	O20100607000903

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235225608	NPI	-	NPPES
F785	Other	SC	MEDICARE PART B PTAN
FQC077	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(South Carolina)	Primary

Reviews and Comments

Clinic/Center in Blackville, SC

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516
Low Country Health Care System Mobile Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Baker St N, Blackville, SC 29817 Phone: 803-284-1045
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardener Rd, Box 247, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-641-6277

- Medicare Primary Care in Blackville, SC