| Rivertown Family Medicine, P.c. | |
|
1210 Main St Conway SC 29526-3633 | |
| (843) 488-4300 | |
| (843) 488-4301 |
| Full Name | Rivertown Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1210 Main St, Conway, South Carolina |
| Authorized Official Name and Position | Siena Shields Alford (CO OWNER) |
| Authorized Official Contact | 8434884300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivertown Family Medicine, P.c. 1210 Main St Conway SC 29526-3633 Ph: (843) 488-4300 | Rivertown Family Medicine, P.c. 1210 Main St Conway SC 29526-3633 Ph: (843) 488-4300 |
| NPI Number | 1174529317 |
|---|---|
| Provider Enumeration Date | 06/22/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4587638184 |
|---|---|
| Medicare Enrollment ID | O20040820000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174529317 | NPI | - | NPPES |
| T19753 | Medicaid | SC | |
| TL0665 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0285 (South Carolina) | Primary |
| Provider Name | Siena Shields Alford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881648319 PECOS PAC ID: 9234122136 Enrollment ID: I20040406001433 |
| Provider Name | Kimberly Shelley Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558318527 PECOS PAC ID: 1759355357 Enrollment ID: I20040824000038 |
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Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1608 N. Main St, Conway, SC 29526 Phone: 843-248-4700 | |
Cmc Primary Care Highway 90 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526 Phone: 843-248-4700 | |
Cmc Primary Care Church Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Church St, Ste A, Conway, SC 29526 Phone: 843-365-0295 Fax: 843-365-0354 | |
Coastal Carolina University Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 University Blvd, Conway, SC 29526 Phone: 843-349-6543 |