| St James Santee Family Health Center Inc | |
|
2482 Powell Road Georgetown SC 29440 | |
| (843) 527-7533 | |
| (843) 527-7940 |
| Full Name | St James Santee Family Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2482 Powell Road, Georgetown, South Carolina |
| Authorized Official Name and Position | Sandra Gilliard (CEO) |
| Authorized Official Contact | 8438873274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St James Santee Family Health Center Inc Po Box 607 Mc Clellanville SC 29458-0607 Ph: (843) 527-7533 | St James Santee Family Health Center Inc 2482 Powell Road Georgetown SC 29440 Ph: (843) 527-7533 |
| NPI Number | 1538293394 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 06/22/2022 |
| Medicare PECOS PAC ID | 1658280334 |
|---|---|
| Medicare Enrollment ID | O20111203000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538293394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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