Low Country Health Care System Mobile Health Services | |
130 Baker St N Blackville SC 29817-2426 | |
(803) 284-1045 | |
Not Available |
Full Name | Low Country Health Care System Mobile Health Services |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 130 Baker St N, Blackville, South Carolina |
Authorized Official Name and Position | Ashley Barnes (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8036322533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Low Country Health Care System Mobile Health Services 130 Baker St N Blackville SC 29817-2426 Ph: (803) 284-1045 | Low Country Health Care System Mobile Health Services 130 Baker St N Blackville SC 29817-2426 Ph: (803) 284-1045 |
NPI Number | 1114743176 |
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Provider Enumeration Date | 11/25/2024 |
Last Update Date | 11/25/2024 |
Identifier | Type | State | Issuer |
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1114743176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |