| Winnsboro Pediatrics & Family Practice | |
|
1136 Kincaid Bridge Rd Ste. A Winnsboro SC 29180-7116 | |
| (803) 635-1052 | |
| (803) 712-9724 |
| Full Name | Winnsboro Pediatrics & Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 1136 Kincaid Bridge Rd, Winnsboro, 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 | Practice Location Address |
|---|---|
| Winnsboro Pediatrics & Family Practice Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969 | Winnsboro Pediatrics & Family Practice 1136 Kincaid Bridge Rd Ste. A Winnsboro SC 29180-7116 Ph: (803) 635-1052 |
| NPI Number | 1003113168 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 02/03/2022 |
| Medicare PECOS PAC ID | 3274434220 |
|---|---|
| Medicare Enrollment ID | O20120622000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003113168 | NPI | - | NPPES |
| FQC031 | Medicaid | SC | |
| FQC133 | Medicaid | SC | |
| CBP018 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 880 West Moultrie St., Suite 200, Winnsboro, SC 29180 Phone: 803-635-6487 Fax: 803-635-6089 | |
Rapha Wells Primary Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Kincaid Bridge Rd, Winnsboro, SC 29180 Phone: 803-402-0558 | |
John A Martin Primary Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Us Hwy 321 Bypass N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Ph Family Medicine Winnsboro Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Ph Family Medicine Winnsboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Fairfield Medical 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 W Moultrie St, Winnsboro, SC 29180 Phone: 803-635-6461 Fax: 803-635-4200 |