| St James Santee Family Health Center Inc | |
|
1189 Tibwin Rd Mc Clellanville SC 29458-9405 | |
| (843) 887-3274 | |
| (843) 887-3929 |
| Full Name | St James Santee Family Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1189 Tibwin Rd, Mc Clellanville, South Carolina |
| Authorized Official Name and Position | Sanrda 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 608 1189 Tibwin Road Mc Clellanville SC 29458-0608 Ph: (843) 887-3274 | St James Santee Family Health Center Inc 1189 Tibwin Rd Mc Clellanville SC 29458-9405 Ph: (843) 887-3274 |
| NPI Number | 1588618441 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 06/22/2022 |
| Medicare PECOS PAC ID | 1658280334 |
|---|---|
| Medicare Enrollment ID | O20111203000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588618441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Roper St. Francis Physician Partners Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 Venning St, Mc Clellanville, SC 29458 Phone: 843-887-3344 Fax: 843-887-9811 |