Heath Springs Medical Center | |
209 South College Street Heath Springs SC 29058 | |
(803) 273-4018 | |
(803) 273-4023 |
Full Name | Heath Springs Medical Center |
---|---|
Speciality | Clinic/Center |
Location | 209 South College Street, Heath Springs, South Carolina |
Authorized Official Name and Position | Ifediora Foster Afulukwe (MEDICAL DIRECTOR) |
Authorized Official Contact | 8032734018 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Heath Springs Medical Center Po Box 49089 Charlotte NC 28277-0073 Ph: (803) 273-4018 | Heath Springs Medical Center 209 South College Street Heath Springs SC 29058 Ph: (803) 273-4018 |
NPI Number | 1780761684 |
---|---|
Provider Enumeration Date | 11/01/2006 |
Last Update Date | 09/01/2016 |
Medicare PECOS PAC ID | 6709935299 |
---|---|
Medicare Enrollment ID | O20090512000228 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780761684 | NPI | - | NPPES |
GP2762 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | MD20627 (South Carolina) | Secondary |
261QP2300X | Clinic/center - Primary Care | 20627 (South Carolina) | Primary |
Provider Name | Ifedoria Foster Afulukwe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417912932 PECOS PAC ID: 4880743376 Enrollment ID: I20150224000832 |
Provider Name | Clarence Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811448194 PECOS PAC ID: 0143505701 Enrollment ID: I20170322000001 |