Health Care Partners Of South Carolina, Inc. | |
123 East Broadway Street Johnsonville SC 29555-6438 | |
(843) 386-3573 | |
Not Available |
Full Name | Health Care Partners Of South Carolina, Inc. |
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Speciality | Clinic/Center |
Location | 123 East Broadway Street, Johnsonville, South Carolina |
Authorized Official Name and Position | Santina Mayo (CEO) |
Authorized Official Contact | 8434886364 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Care Partners Of South Carolina, Inc. 123 East Broadway Street Johnsonville SC 29555-6438 Ph: (843) 386-3573 | Health Care Partners Of South Carolina, Inc. 123 East Broadway Street Johnsonville SC 29555-6438 Ph: (843) 386-3573 |
NPI Number | 1639255631 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 12/22/2023 |
Medicare PECOS PAC ID | 3577668763 |
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Medicare Enrollment ID | O20111129000011 |
Identifier | Type | State | Issuer |
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1639255631 | NPI | - | NPPES |
82 | Other | SC | CITY BUSINESS LICENSE |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Primary |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 237 S Georgetown Hwy, Johnsonville, SC 29555 Phone: 843-386-3573 | |