Fetter Health Care Network-summerville Site | |
700 N Pine St Summerville SC 29483-6641 | |
(843) 821-3444 | |
(843) 851-8001 |
Full Name | Fetter Health Care Network-summerville Site |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 700 N Pine St, Summerville, 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-summerville Site 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | Fetter Health Care Network-summerville Site 700 N Pine St Summerville SC 29483-6641 Ph: (843) 821-3444 |
NPI Number | 1982718425 |
---|---|
Provider Enumeration Date | 08/19/2006 |
Last Update Date | 10/18/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982718425 | NPI | - | NPPES |
FQC046 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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