<unavail> in Ridgeland, SC

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Ridgeland, South Carolina. The current practice location for is 1520 Grays Hwy, Ridgeland, South Carolina. For appointments, you can reach them via phone at (843) 726-3979. The mailing address for is 721 N Okatie Hwy # 170, Ridgeland, South Carolina and phone number is (843) 987-7400.

is licensed to practice in South Carolina (license number FQC099) and its NPI number is 1629322466. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (843) 726-3979.

Contact Information


	1520 Grays Hwy Ridgeland SC 29936-5440
	(843) 726-3979
	(843) 726-4287

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	1520 Grays Hwy, Ridgeland, South Carolina
Authorized Official Name and Position	Roland J Gardner (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	8439877400
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
721 N Okatie Hwy # 170 Ridgeland SC 29936-8276 Ph: (843) 987-7400	1520 Grays Hwy Ridgeland SC 29936-5440 Ph: (843) 726-3979

NPI Details:

NPI Number	1629322466
Provider Enumeration Date	11/01/2012
Last Update Date	08/08/2016

Medical Identifiers

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

Identifier	Type	State	Issuer
1629322466	NPI	-	NPPES
FQC099	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QC1500X	Clinic/center - Community Health	GP2554 (South Carolina)	Secondary
261QD0000X	Clinic/center - Dental	295441 (South Carolina)	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	FQC099 (South Carolina)	Primary
261QM1300X	Clinic/center - Multi-specialty	CBP005 (South Carolina)	Secondary
261QM2500X	Clinic/center - Medical Specialty	FQC099 (South Carolina)	Secondary

Reviews and Comments

Clinic/Center in Ridgeland, SC

Bennett Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10876a N Jacob Smart Blvd, Ridgeland, SC 29936 Phone: 843-694-7728
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936 Phone: 843-784-3101 Fax: 843-784-5313
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 W Wilson Street, Ridgeland, SC 29936 Phone: 843-717-2600 Fax: 843-717-2356
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Okatie Hwy, Ridgeland, SC 29909 Phone: 843-987-7400 Fax: 843-987-7484
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Terrace Dr, Ridgeland, SC 29936 Phone: 843-547-4765 Fax: 843-547-4766
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10911 North Jacob Smart Blvd, #d, Ridgeland, SC 29936 Phone: 843-784-3101 Fax: 843-784-5313
Altea Medical South Carolina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 Grays Hwy, Ridgeland, SC 29936 Phone: 843-726-5581

- Primary Care in Ridgeland, SC