Pri-care Inc | |
1795 Frank Gaston Blvd Rock Hill SC 29732-1190 | |
(803) 524-1821 | |
(704) 380-9117 |
Full Name | Pri-care Inc |
---|---|
Speciality | Internal Medicine |
Location | 1795 Frank Gaston Blvd, Rock Hill, South Carolina |
Authorized Official Name and Position | Tolulola O. Adeola (CEO) |
Authorized Official Contact | 8035241821 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pri-care Inc 1735 Heckle Blvd Ste 103-303 Rock Hill SC 29732-4803 Ph: (803) 524-1821 | Pri-care Inc 1795 Frank Gaston Blvd Rock Hill SC 29732-1190 Ph: (803) 524-1821 |
NPI Number | 1700316106 |
---|---|
Provider Enumeration Date | 06/18/2017 |
Last Update Date | 06/18/2017 |
Medicare PECOS PAC ID | 2163798760 |
---|---|
Medicare Enrollment ID | O20171026001962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700316106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23570 (South Carolina) | Primary |
Provider Name | Tolulola Omololu Adeola |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1578582797 PECOS PAC ID: 6608959465 Enrollment ID: I20080218000038 |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |