<unavail> in Columbia, SC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Columbia, South Carolina. The current practice location for is 4605 Monticello Rd, Bldg A, Ste.1, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 252-7001. The mailing address for is Po Box 3788, Columbia, South Carolina and phone number is (803) 735-5591.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265745202. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 252-7001.

Contact Information


	4605 Monticello Rd Bldg A, Ste.1 Columbia SC 29203-4156
	(803) 252-7001
	(803) 252-5219

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4605 Monticello Rd, Columbia, South Carolina
Authorized Official Name and Position	Delgado Cantave (CEO)
Authorized Official Contact	8037335969
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 3788 Columbia SC 29230-3788 Ph: (803) 735-5591	4605 Monticello Rd Bldg A, Ste.1 Columbia SC 29203-4156 Ph: (803) 252-7001

NPI Details:

NPI Number	1265745202
Provider Enumeration Date	07/20/2010
Last Update Date	02/03/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	3274434220
Medicare Enrollment ID	O20120911000461

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265745202	NPI	-	NPPES
FQC031	Medicaid	SC
CBP018	Medicaid	SC
FQC130	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Columbia, SC

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- Medicare Primary Care in Columbia, SC