| |
1588 Geer Hwy Travelers Rest SC 29690-9204 | |
(864) 836-1109 | |
(864) 836-6365 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1588 Geer Hwy, Travelers Rest, South Carolina |
Authorized Official Name and Position | J Brandon Gaffney (CEO & PRESIDENT) |
Authorized Official Contact | 8647298330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 287 Greenville SC 29602-0287 Ph: (864) 312-6001 | 1588 Geer Hwy Travelers Rest SC 29690-9204 Ph: (864) 836-1109 |
NPI Number | 1184808008 |
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Provider Enumeration Date | 12/27/2007 |
Last Update Date | 10/11/2024 |
Medicare PECOS PAC ID | 8224949698 |
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Medicare Enrollment ID | O20080924000154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184808008 | NPI | - | NPPES |
FQC067 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Preserve Health, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Botanical Circle, Travelers Rest, SC 29690 Phone: 864-836-5322 Fax: 864-371-1812 | |
T. Daniel Caddell Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 North Main Street, Travelers Rest, SC 29690 Phone: 864-834-4191 Fax: 864-834-1964 | |