| |
355 S Georgetown Hwy Johnsonville SC 29555-8083 | |
(843) 380-2000 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 355 S Georgetown Hwy, Johnsonville, South Carolina |
Authorized Official Name and Position | Samuel Fulton Ervin (SR VICE PRESIDENT AND CFO) |
Authorized Official Contact | 8437772910 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 100567 Florence SC 29502-0567 Ph: () - | 355 S Georgetown Hwy Johnsonville SC 29555-8083 Ph: (843) 380-2000 |
NPI Number | 1144875774 |
---|---|
Provider Enumeration Date | 08/09/2019 |
Last Update Date | 08/14/2019 |
Medicare PECOS PAC ID | 0840582656 |
---|---|
Medicare Enrollment ID | O20190910000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144875774 | NPI | - | NPPES |
RHC176 | Medicaid | SC | |
42-8989 | Other | SC | PTAN |
GP2568 | Medicaid | SC |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 East Broadway Street, Johnsonville, SC 29555 Phone: 843-386-3573 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 237 S Georgetown Hwy, Johnsonville, SC 29555 Phone: 843-386-3573 | |