| Wagener Medical Center | |
|
120 Louie Street Wagener SC 29164-0098 | |
| (803) 564-6497 | |
| (803) 564-6498 |
| Full Name | Wagener Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 120 Louie Street, Wagener, South Carolina |
| Authorized Official Name and Position | Charlie Clifton Alsbrooks (ADMINISTRATOR) |
| Authorized Official Contact | 8036416277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagener Medical Center Po Box 98 120 Louie St Wagener SC 29164-0098 Ph: (803) 564-6497 | Wagener Medical Center 120 Louie Street Wagener SC 29164-0098 Ph: (803) 564-6497 |
| NPI Number | 1811020183 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811020183 | NPI | - | NPPES |
| RHC025 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 08504 (South Carolina) | Primary |
Wagener Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Louie Street, Wagener, SC 29164 Phone: 803-284-0020 Fax: 803-284-5516 | |
Dr. Vasant L. Garde Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Louie Street, Wagener, SC 29164 Phone: 803-564-8803 Fax: 803-564-8804 | |
Wagener Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Louie Street, Wagener, SC 29164 Phone: 803-284-0020 Fax: 803-284-5516 |