<unavail> in Spartanburg, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Spartanburg, South Carolina. The current practice location for is 301 Cresent Ave, Spartanburg, South Carolina. For appointments, you can reach them via phone at (654) 582-2411. The mailing address for is Po Box 5158, Spartanburg, South Carolina and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548528714. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (654) 582-2411.

Contact Information


	301 Cresent Ave Spartanburg SC 29306-0000
	(654) 582-2411
	(864) 582-8445

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	301 Cresent Ave, Spartanburg, South Carolina
Authorized Official Name and Position	Marlon Hunter (CEO)
Authorized Official Contact	8645822817
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 5158 Spartanburg SC 29304-5158 Ph: () -	301 Cresent Ave Spartanburg SC 29306-0000 Ph: (654) 582-2411

NPI Details:

NPI Number	1548528714
Provider Enumeration Date	04/25/2012
Last Update Date	05/18/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	8022928001
Medicare Enrollment ID	O20120911000274

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548528714	NPI	-	NPPES
FQC121	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Spartanburg, SC

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2273 Hayne St., Spartanburg, SC 29301 Phone: 864-541-0555 Fax: 864-345-7898
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- Medicare Primary Care in Spartanburg, SC