| Landrum Family Health Care Llc | |
|
108 W Rutherford St Landrum SC 29356-1526 | |
| (864) 457-2363 | |
| (864) 457-2736 |
| Full Name | Landrum Family Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 W Rutherford St, Landrum, South Carolina |
| Authorized Official Name and Position | Linda M Woodfin-hightower (PRESIDENT) |
| Authorized Official Contact | 8644572363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landrum Family Health Care Llc Po Box 657 Landrum SC 29356-0657 Ph: (864) 457-2363 | Landrum Family Health Care Llc 108 W Rutherford St Landrum SC 29356-1526 Ph: (864) 457-2363 |
| NPI Number | 1831323831 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 02/10/2010 |
| Medicare PECOS PAC ID | 3274689427 |
|---|---|
| Medicare Enrollment ID | O20091026000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831323831 | NPI | - | NPPES |
| 42-8995 | Other | SC | MEDICARE RURAL HEALTH |
| GP5191 | Medicaid | SC | |
| RHC183 | Other | SC | MEDICAID RURAL HEALTH |
| 7000470 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Linda M Woodfin-hightower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679501621 PECOS PAC ID: 3779572474 Enrollment ID: I20070416000204 |
| Provider Name | Hope Easler Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255848032 PECOS PAC ID: 9234490038 Enrollment ID: I20180219000128 |
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