| Fetter Health Care Network-enterprise Site | |
|
2047 Comstock Ave N Charleston SC 29405-8117 | |
| (843) 747-8893 | |
| (843) 747-8895 |
| Full Name | Fetter Health Care Network-enterprise Site |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2047 Comstock Ave, N Charleston, South Carolina |
| Authorized Official Name and Position | Aretha Jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8437224112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fetter Health Care Network-enterprise Site 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | Fetter Health Care Network-enterprise Site 2047 Comstock Ave N Charleston SC 29405-8117 Ph: (843) 747-8893 |
| NPI Number | 1487768842 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487768842 | NPI | - | NPPES |
| FQC053 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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