| Mobile Health Clinic #1 | |
|
457 Spruce St Walterboro SC 29488-2766 | |
| (843) 584-4353 | |
| (803) 254-3678 |
| Full Name | Mobile Health Clinic #1 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 457 Spruce St, Walterboro, South Carolina |
| Authorized Official Name and Position | Tony Megna (CEO) |
| Authorized Official Contact | 8032543676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Health Clinic #1 8906 Two Notch Rd Columbia SC 29223-6366 Ph: (803) 254-3676 | Mobile Health Clinic #1 457 Spruce St Walterboro SC 29488-2766 Ph: (843) 584-4353 |
| NPI Number | 1881440758 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881440758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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