| Santee Family Medical Center | |
|
130 Plaza Cir Santee SC 29142-9630 | |
| (803) 854-3940 | |
| (803) 854-3945 |
| Full Name | Santee Family Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 130 Plaza Cir, Santee, South Carolina |
| Authorized Official Name and Position | Gossie C Heath Mathis (OWNER) |
| Authorized Official Contact | 8038543940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santee Family Medical Center Po Box 277 Santee SC 29142-0277 Ph: (803) 854-3940 | Santee Family Medical Center 130 Plaza Cir Santee SC 29142-9630 Ph: (803) 854-3940 |
| NPI Number | 1326217654 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326217654 | NPI | - | NPPES |
| GPO261 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 13454 (South Carolina) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 13454 (South Carolina) | Primary |
Medical Center Of Santee Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Bass Drive, Santee, SC 29142 Phone: 803-854-3805 Fax: 803-854-3810 | |
Santee Family Medical Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Santee River Plz, Santee, SC 29142 Phone: 803-854-3940 Fax: 803-854-3945 | |
Santee Family Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Plaza Cir, Santee, SC 29142 Phone: 803-854-3940 |