| Hopehealth Kingstree | |
|
520 Thurgood Marshall Hwy Suite B Kingstree SC 29556-4108 | |
| (843) 355-5628 | |
| (843) 355-5616 |
| Full Name | Hopehealth Kingstree |
|---|---|
| Speciality | Clinic/Center |
| Location | 520 Thurgood Marshall Hwy, Kingstree, South Carolina |
| Authorized Official Name and Position | Mark Vinson (CFO) |
| Authorized Official Contact | 8436560353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopehealth Kingstree 360 N Irby St Florence SC 29501-2808 Ph: (843) 667-9414 | Hopehealth Kingstree 520 Thurgood Marshall Hwy Suite B Kingstree SC 29556-4108 Ph: (843) 355-5628 |
| NPI Number | 1568704583 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 11/05/2021 |
| Medicare PECOS PAC ID | 4082510623 |
|---|---|
| Medicare Enrollment ID | O20130507000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568704583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kingstree Family Dentisry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Longstreet St, Kingstree, SC 29556 Phone: 843-355-5554 | |
Kingstree Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-356-2955 | |
Lucius F Wates Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Thurgood Marshall Hwy, Kingstree, SC 29556 Phone: 843-355-9295 Fax: 843-355-9296 |