| Low Country Health Care System, Inc | |
|
333 Revoluntionary Trail Fairfax SC 29827-7109 | |
| (803) 632-2533 | |
| (803) 632-2451 |
| Full Name | Low Country Health Care System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 Revoluntionary Trail, Fairfax, South Carolina |
| Authorized Official Name and Position | Ashley Barnes (CEO) |
| Authorized Official Contact | 8036322533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Low Country Health Care System, Inc Po Box 990 Fairfax SC 29827 Ph: (803) 632-2533 | Low Country Health Care System, Inc 333 Revoluntionary Trail Fairfax SC 29827-7109 Ph: (803) 632-2533 |
| NPI Number | 1649366022 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 4284530940 |
|---|---|
| Medicare Enrollment ID | O20100623000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649366022 | NPI | - | NPPES |
| FQC044 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Primary |
Carolina Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1787 Allendale Fairfax Highway, Fairfax, SC 29827 Phone: 803-632-3421 Fax: 803-632-2410 | |
Carolina Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1787 Allendale Fairfax Hwy, Fairfax, SC 29827 Phone: 803-632-3311 Fax: 803-632-3415 |