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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Columbia, South Carolina. The current practice location for is 1228 Harden St Ste A, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 748-7002. The mailing address for is Po Box 3788, Columbia, South Carolina and phone number is (803) 753-5991.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467763391. 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) 748-7002.

Contact Information


	1228 Harden St Ste A Columbia SC 29204-1800
	(803) 748-7002
	(803) 252-5259

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1228 Harden St Ste A, Columbia, South Carolina
Authorized Official Name and Position	Delgado Cantave (CEO)
Authorized Official Contact	8037335969
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 3788 Columbia SC 29230-3788 Ph: (803) 753-5991	1228 Harden St Ste A Columbia SC 29204-1800 Ph: (803) 748-7002

NPI Details:

NPI Number	1467763391
Provider Enumeration Date	06/25/2010
Last Update Date	01/11/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	3274434220
Medicare Enrollment ID	O20130329000159

Medical Identifiers

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

Identifier	Type	State	Issuer
1467763391	NPI	-	NPPES
4350	Other	SC	MEDICARE PART B
FQC031	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 Columbia, SC

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040

- Medicare Primary Care in Columbia, SC