Premier Clincs | |
120 York St Chester SC 29706-1484 | |
(803) 581-3000 | |
(803) 581-2997 |
Full Name | Premier Clincs |
---|---|
Speciality | Clinic/Center |
Location | 120 York St, Chester, South Carolina |
Authorized Official Name and Position | Bamidele A Ekunsanmi (PRESIDENT/CEO) |
Authorized Official Contact | 8035813000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Premier Clincs Po Box 159 120 York Street Chester SC 29706-0159 Ph: (803) 581-3000 | Premier Clincs 120 York St Chester SC 29706-1484 Ph: (803) 581-3000 |
NPI Number | 1548282452 |
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Provider Enumeration Date | 07/24/2006 |
Last Update Date | 02/29/2008 |
Medicare PECOS PAC ID | 7315013463 |
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Medicare Enrollment ID | O20080915000120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548282452 | NPI | - | NPPES |
GP3015 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 19921 (South Carolina) | Primary |
Provider Name | Bamidele A Ekunsanmi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932156171 PECOS PAC ID: 7012089311 Enrollment ID: I20080701000611 |
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Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Doctors Ct, Chester, SC 29706 Phone: 803-325-7744 | |
Chester Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Building 4, Suite A, Chester, SC 29706 Phone: 803-581-2001 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Hudson St, Chester, SC 29706 Phone: 803-377-8111 | |
Chester Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Bldg 4, Ste A, Chester, SC 29706 Phone: 803-581-2001 | |
Abner Creek Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3163 Fax: 803-385-5388 | |
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