| Rural Mission Migrant Site-walterboro | |
|
14405 Bells Hwy Lodge SC 29082-9331 | |
| (843) 768-9518 | |
| Not Available |
| Full Name | Rural Mission Migrant Site-walterboro |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14405 Bells Hwy, Lodge, South Carolina |
| Authorized Official Name and Position | Ronald A Ravenell (CEO) |
| Authorized Official Contact | 8437224112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Mission Migrant Site-walterboro 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | Rural Mission Migrant Site-walterboro 14405 Bells Hwy Lodge SC 29082-9331 Ph: (843) 768-9518 |
| NPI Number | 1760770994 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760770994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Fetter Health Care Network-willow Swamp Road Migrant Camp Location Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3139 Willow Swamp Rd, Lodge, SC 29082 Phone: 843-722-4112 Fax: 843-577-8960 | |
Fetter Health Care Network-mccune Branch Migrant Camp Location Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Mccune Branch Ln, Lodge, SC 29082 Phone: 843-722-4112 Fax: 843-577-8960 | |
Fetter Health Care Network-williams Center Migrant Camp Location Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 Cross Swamp Rd, Lodge, SC 29082 Phone: 843-722-4112 Fax: 843-577-8960 |