| Medical Center Of North | |
|
119 Boltin Ave North SC 29112-8131 | |
| (803) 247-3900 | |
| (803) 247-3930 |
| Full Name | Medical Center Of North |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 119 Boltin Ave, North, South Carolina |
| Authorized Official Name and Position | Monnie Singleton (PRESIDENT AND CEO) |
| Authorized Official Contact | 8035353600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Of North 1773 Village Park Dr Orangeburg SC 29118-2475 Ph: (803) 535-3600 | Medical Center Of North 119 Boltin Ave North SC 29112-8131 Ph: (803) 247-3900 |
| NPI Number | 1457303851 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457303851 | NPI | - | NPPES |
| GP3535 | Medicaid | SC | |
| RHC136 | Medicaid | SC | |
| RHC166 | Medicaid | SC | |
| 7440 | Other | SC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14294 (South Carolina) | Primary |
North Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4631 Savannah Highway, North, SC 29112 Phone: 803-395-2058 | |
Rmc Primary Care North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4631 Savannah Highway, North, SC 29112 Phone: 803-247-2428 Fax: 803-247-2650 |