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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Hollywood, South Carolina. The current practice location for is 5225 Highway 165, Hollywood, South Carolina. For appointments, you can reach them via phone at (843) 889-2272. The mailing address for is 51 Nassau Street, Charleston, South Carolina and phone number is (843) 722-4112.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386792976. 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 (843) 889-2272.

Contact Information


	5225 Highway 165 Hollywood SC 29449-6144
	(843) 889-2272
	(843) 889-2274

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	5225 Highway 165, Hollywood, South Carolina
Authorized Official Name and Position	Aretha Jones (EXECUTIVE DIRECTOR)
Authorized Official Contact	8437224112
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
51 Nassau Street Charleston SC 29403-5513 Ph: (843) 722-4112	5225 Highway 165 Hollywood SC 29449-6144 Ph: (843) 889-2272

NPI Details:

NPI Number	1386792976
Provider Enumeration Date	01/08/2007
Last Update Date	10/18/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	9032215199
Medicare Enrollment ID	O20080819000386

Medical Identifiers

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

Identifier	Type	State	Issuer
1386792976	NPI	-	NPPES
FQC047	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Hollywood, SC

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Highway 165, Hollywood, SC 29449 Phone: 843-889-2272 Fax: 843-889-2274
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8548 Willtown Rd, Hollywood, SC 29449 Phone: 843-723-9582 Fax: 843-723-7011
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5117 Baptist Hill Rd, Hollywood, SC 29449 Phone: 843-723-9582 Fax: 843-723-7011
Renovo Medical Consulting Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4770 Stono Links Dr, Hollywood, SC 29449 Phone: 615-714-6035
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7610 Highway 164, Hollywood, SC 29449 Phone: 843-889-8018 Fax: 843-889-9133
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7555 Sc Hwy 162, Hollywood, SC 29449 Phone: 843-722-4112 Fax: 843-577-8960

- Medicare Primary Care in Hollywood, SC