Resilience Family Healthcare & Iv Lounge | |
302b Montague Ave Greenwood SC 29649-1938 | |
(864) 323-3973 | |
Not Available |
Full Name | Resilience Family Healthcare & Iv Lounge |
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Speciality | Family Medicine |
Location | 302b Montague Ave, Greenwood, South Carolina |
Authorized Official Name and Position | Calistur Hill (OWNER) |
Authorized Official Contact | 8643239373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Resilience Family Healthcare & Iv Lounge 115 Oak Ridge Dr Greenwood SC 29649-1777 Ph: (864) 323-9373 | Resilience Family Healthcare & Iv Lounge 302b Montague Ave Greenwood SC 29649-1938 Ph: (864) 323-3973 |
NPI Number | 1518531573 |
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Provider Enumeration Date | 05/14/2021 |
Last Update Date | 05/14/2021 |
Medicare PECOS PAC ID | 8325438435 |
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Medicare Enrollment ID | O20211203002444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518531573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Calistur Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063971083 PECOS PAC ID: 7315288776 Enrollment ID: I20190411002022 |
Carolina Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Main St, Greenwood, SC 29646 Phone: 864-396-0117 Fax: 864-388-0648 | |
Hands Of Hope Children's Therapy Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maxwell Ave, Greenwood, SC 29646 Phone: 864-993-3302 |