<unavail> in Columbia, SC

is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Columbia, South Carolina. The current practice location for is 1228 Harden St, Ste.b, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 744-0540. The mailing address for is Po Box 3788, Columbia, South Carolina and phone number is (803) 733-5969.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1306185509. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (803) 744-0540.

Contact Information


	1228 Harden St Ste.b Columbia SC 29204-1800
	(803) 744-0540
	(803) 744-0542

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Federally Qualified Health Center (fqhc)
Location	1228 Harden St, Columbia, South Carolina
Authorized Official Name and Position	Delgado Cantave (CEO)
Authorized Official Contact	8037335969
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969	1228 Harden St Ste.b Columbia SC 29204-1800 Ph: (803) 744-0540

NPI Details:

NPI Number	1306185509
Provider Enumeration Date	02/07/2013
Last Update Date	02/03/2022

Medical Identifiers

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

Identifier	Type	State	Issuer
1306185509	NPI	-	NPPES
FQC134	Medicaid	SC
CBP018	Medicaid	SC
FQC031	Other	SC	MEDICAID FQC NUMBER

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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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040

- Primary Care in Columbia, SC