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1520 Laurel St Columbia SC 29201-2623 | |
(803) 799-8407 | |
(803) 799-8148 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1520 Laurel St, Columbia, South Carolina |
Authorized Official Name and Position | Stuart A. Hamilton (CEO) |
Authorized Official Contact | 8037335969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969 | 1520 Laurel St Columbia SC 29201-2623 Ph: (803) 799-8407 |
NPI Number | 1558320960 |
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Provider Enumeration Date | 03/23/2006 |
Last Update Date | 02/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558320960 | NPI | - | NPPES |
CBP018 | Medicaid | SC | |
4350 | Other | SC | MEDICARE PART B |
FQC031 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |