Aiken Specialty Services | |
209 Abbeville Ave Nw Aiken SC 29801-3923 | |
(803) 632-2533 | |
(803) 632-2451 |
Full Name | Aiken Specialty Services |
---|---|
Speciality | Clinic/Center |
Location | 209 Abbeville Ave Nw, Aiken, South Carolina |
Authorized Official Name and Position | Darainey Hudson (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 8036322533 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Aiken Specialty Services 86 Wren St Barnwell SC 29812-1529 Ph: (803) 259-5762 | Aiken Specialty Services 209 Abbeville Ave Nw Aiken SC 29801-3923 Ph: (803) 632-2533 |
NPI Number | 1194288571 |
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Provider Enumeration Date | 04/11/2019 |
Last Update Date | 01/11/2024 |
Medicare PECOS PAC ID | 4284530940 |
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Medicare Enrollment ID | O20191104002947 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194288571 | NPI | - | NPPES |
6850 | Other | SC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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