| Caresouth Carolina Inc | |
|
737 S Main Street Society Hill SC 29593 | |
| (843) 378-4501 | |
| (843) 378-4209 |
| Full Name | Caresouth Carolina Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 737 S Main Street, Society Hill, South Carolina |
| Authorized Official Name and Position | Ann Lewis (CEO) |
| Authorized Official Contact | 8438570111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caresouth Carolina Inc 201 South Fifth St Hartsville SC 29550 Ph: (843) 857-0111 | Caresouth Carolina Inc 737 S Main Street Society Hill SC 29593 Ph: (843) 378-4501 |
| NPI Number | 1174833511 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174833511 | NPI | - | NPPES |
| ZA9329 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |