| R.d. Gibbs Family Health Center | |
|
106 W Main St Moncks Corner SC 29461-2601 | |
| (843) 761-1995 | |
| Not Available |
| Full Name | R.d. Gibbs Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 W Main St, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Aretha R Jones (CEO) |
| Authorized Official Contact | 8437224112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R.d. Gibbs Family Health Center 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | R.d. Gibbs Family Health Center 106 W Main St Moncks Corner SC 29461-2601 Ph: (843) 761-1995 |
| NPI Number | 1659872059 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/22/2018 |
| Medicare PECOS PAC ID | 9032215199 |
|---|---|
| Medicare Enrollment ID | O20190521000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659872059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Primary |
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