Tandem Health - Family Medicine | |
319 N Main St Sumter SC 29150-4258 | |
(803) 774-4500 | |
(803) 305-1466 |
Full Name | Tandem Health - Family Medicine |
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Speciality | Clinic/Center |
Location | 319 N Main St, Sumter, South Carolina |
Authorized Official Name and Position | Annie L Brown (CEO) |
Authorized Official Contact | 8037744500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tandem Health - Family Medicine Po Box 250 Sumter SC 29151-0250 Ph: (803) 774-4500 | Tandem Health - Family Medicine 319 N Main St Sumter SC 29150-4258 Ph: (803) 774-4500 |
NPI Number | 1356772776 |
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Provider Enumeration Date | 12/11/2013 |
Last Update Date | 10/14/2019 |
Medicare PECOS PAC ID | 3870575855 |
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Medicare Enrollment ID | O20140204000430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356772776 | NPI | - | NPPES |
42-1009 | Other | SC | MEDICARE PROVIDER NUMBER |
7124 | Other | SC | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Primary |
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