Sandhills Medical Foundation, Inc. | |
30 Cuttino Rd Sumter SC 29150-2667 | |
(803) 778-2442 | |
(803) 778-0880 |
Full Name | Sandhills Medical Foundation, Inc. |
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Speciality | Clinic/Center |
Location | 30 Cuttino Rd, Sumter, 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. 30 Cuttino Rd Sumter SC 29150-2667 Ph: (803) 778-2442 |
NPI Number | 1780742825 |
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Provider Enumeration Date | 12/04/2006 |
Last Update Date | 09/29/2023 |
Medicare PECOS PAC ID | 8224949821 |
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Medicare Enrollment ID | O20080821000147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780742825 | NPI | - | NPPES |
FQC056 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Primary |
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