Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1606b Main St, Conway, South Carolina |
Authorized Official Name and Position | Sadie Holmes (CREDENTIALING ADMINISTRATOR) |
Authorized Official Contact | 8434886364 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1608 Main St Conway SC 29526-3572 Ph: (843) 248-4700 | 1606b Main St Conway SC 29526-3572 Ph: (843) 248-4700 |
NPI Number | 1528771086 |
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Provider Enumeration Date | 12/29/2022 |
Last Update Date | 07/05/2024 |
Medicare PECOS PAC ID | 3577668763 |
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Medicare Enrollment ID | O20230720004055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528771086 | NPI | - | NPPES |
H8000411 | Other | SC | FAIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clinic Services Of South Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Sasser Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Cypress Cir, Conway, SC 29526 Phone: 843-347-7291 Fax: 843-347-9309 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1608 N. Main St, Conway, SC 29526 Phone: 843-248-4700 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526 Phone: 843-248-4700 | |