| Mt Olive Family Health Center | |
|
5260 Hwy 9 Green Sea SC 29545 | |
| (843) 392-9222 | |
| (843) 392-1445 |
| Full Name | Mt Olive Family Health Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 5260 Hwy 9, Green Sea, South Carolina |
| Authorized Official Name and Position | Fred O Todd (SENIOR VICE PRESIDENT/CFO) |
| Authorized Official Contact | 8437167520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Olive Family Health Center 3655 Mitchell St Box 690001 Loris SC 29569 Ph: (843) 392-9222 | Mt Olive Family Health Center 5260 Hwy 9 Green Sea SC 29545 Ph: (843) 392-9222 |
| NPI Number | 1194806604 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194806604 | NPI | - | NPPES |
| RHC502 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Health Center - Mt. Olive Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5260 Highway 9, Green Sea, SC 29545 Phone: 843-392-9222 Fax: 843-392-1445 |