| Fetter Health Care Network-ambrose Migrant Camp Location | |
|
2349 Black Pond Lane Wadmalaw Island SC 29487 | |
| (843) 722-4112 | |
| (843) 577-8960 |
| Full Name | Fetter Health Care Network-ambrose Migrant Camp Location |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2349 Black Pond Lane, Wadmalaw Island, South Carolina |
| Authorized Official Name and Position | Aretha Jones (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8437224122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fetter Health Care Network-ambrose Migrant Camp Location 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | Fetter Health Care Network-ambrose Migrant Camp Location 2349 Black Pond Lane Wadmalaw Island SC 29487 Ph: (843) 722-4112 |
| NPI Number | 1760933451 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760933451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Fetter Health Care Network-rackity Hall Camp Mirgrant Camp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5065 Rackity Hall Rd, Wadmalaw Island, SC 29487 Phone: 843-722-4112 Fax: 843-577-8960 |