| Laffitte & Warren Medical Center | |
|
623 Memorial Ave N Allendale SC 29810 | |
| (803) 584-2128 | |
| (803) 584-2125 |
| Full Name | Laffitte & Warren Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 623 Memorial Ave N, Allendale, South Carolina |
| Authorized Official Name and Position | Melvin K Hiatt (ADMINISTRATOR) |
| Authorized Official Contact | 8036323311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laffitte & Warren Medical Center P.o. Box 218 Fairfax SC 29827 Ph: (803) 632-1176 | Laffitte & Warren Medical Center 623 Memorial Ave N Allendale SC 29810 Ph: (803) 584-2128 |
| NPI Number | 1407906878 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 09/30/2014 |
| Medicare PECOS PAC ID | 2567371610 |
|---|---|
| Medicare Enrollment ID | O20100224000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407906878 | NPI | - | NPPES |
| RHC539 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Laffitte And Warren Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Memorial Ave N, Allendale, SC 29810 Phone: 803-632-3311 Fax: 803-632-3415 | |
South Carolina Primary Care Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 571 Memorial Ave N, Allendale, SC 29810 Phone: 304-429-1088 | |
The Palmetto Palace Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Flat St E, Allendale, SC 29810 Phone: 843-532-3169 | |
The Palmetto Palace Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Flat St E, Allendale, SC 29810 Phone: 843-532-3169 |