| Rivertown Wellness Center, Llc | |
|
1210 Main St Conway SC 29526-3633 | |
| (843) 488-4300 | |
| (843) 488-4301 |
| Full Name | Rivertown Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1210 Main St, Conway, South Carolina |
| Authorized Official Name and Position | Siena Shields Alford (PHYSICIAN) |
| Authorized Official Contact | 8434884300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivertown Wellness Center, Llc 1210 Main St Conway SC 29526-3633 Ph: (843) 488-4300 | Rivertown Wellness Center, Llc 1210 Main St Conway SC 29526-3633 Ph: (843) 488-4300 |
| NPI Number | 1447637327 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447637327 | NPI | - | NPPES |
| TL0665 | Medicaid | SC | |
| 42D0940858 | Other | CLIA | |
| E325848035 | Other | SC | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0285 (South Carolina) | Primary |
Clinic Services Of South Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Sasser Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Cypress Cir, Conway, SC 29526 Phone: 843-347-7291 Fax: 843-347-9309 | |
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 | |
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 | |