| Sandhills Medical Foundation, Inc. | |
|
205 W Marion St Kershaw SC 29067-1412 | |
| (803) 475-4701 | |
| (803) 475-4712 |
| Full Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 W Marion St, Kershaw, South Carolina |
| Authorized Official Name and Position | Ernest James Stanley Wardlaw (CEO) |
| Authorized Official Contact | 8433358291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Medical Foundation, Inc. Po Box 366 Mc Bee SC 29101-0366 Ph: (843) 335-8291 | Sandhills Medical Foundation, Inc. 205 W Marion St Kershaw SC 29067-1412 Ph: (803) 475-4701 |
| NPI Number | 1386902542 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 8224949821 |
|---|---|
| Medicare Enrollment ID | O20130129000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386902542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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