| Williston Family Medicine | |
|
13649 Church St Williston SC 29853-5835 | |
| (803) 266-0060 | |
| (803) 266-0065 |
| Full Name | Williston Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 13649 Church St, Williston, South Carolina |
| Authorized Official Name and Position | Ashley Barnes (CEO) |
| Authorized Official Contact | 8036322533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williston Family Medicine 86 Wren St Barnwell SC 29812-1529 Ph: (803) 259-5762 | Williston Family Medicine 13649 Church St Williston SC 29853-5835 Ph: (803) 266-0060 |
| NPI Number | 1922468826 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 4284530940 |
|---|---|
| Medicare Enrollment ID | O20160603001563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922468826 | NPI | - | NPPES |
| FQC#198 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Williston Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2677 Main St, Williston, SC 29853 Phone: 803-266-5740 Fax: 803-266-5607 | |
Williston Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Roundtree St, Williston, SC 29853 Phone: 803-266-3600 Fax: 803-266-3641 | |
Williston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Roundtree St, Williston, SC 29853 Phone: 803-266-3600 Fax: 803-266-3641 | |
Williston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Roundtree St, Williston, SC 29853 Phone: 803-266-3600 Fax: 803-266-3641 | |
Williston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Roundtree St, Williston, SC 29853 Phone: 803-266-3600 | |
Williston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Roundtree St, Williston, SC 29853 Phone: 803-266-3600 |