| St. Matthews Family Health Center | |
|
558 Chestnut St Saint Matthews SC 29135-8104 | |
| (803) 531-6900 | |
| (803) 531-6907 |
| Full Name | St. Matthews Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 558 Chestnut St, Saint Matthews, South Carolina |
| Authorized Official Name and Position | Dondre Wilson (CFO) |
| Authorized Official Contact | 8035316900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Matthews Family Health Center 558 Chestnut St Saint Matthews SC 29135-8104 Ph: (803) 531-6900 | St. Matthews Family Health Center 558 Chestnut St Saint Matthews SC 29135-8104 Ph: (803) 531-6900 |
| NPI Number | 1528262888 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 04/18/2024 |
| Medicare PECOS PAC ID | 2860305075 |
|---|---|
| Medicare Enrollment ID | O20090901000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528262888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (South Carolina) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |