| Hopehealth Lake City Sauls Street | |
|
148 Sauls St Ste A Lake City SC 29560-2677 | |
| (843) 394-1051 | |
| (843) 394-0277 |
| Full Name | Hopehealth Lake City Sauls Street |
|---|---|
| Speciality | Clinic/Center |
| Location | 148 Sauls St Ste A, Lake City, South Carolina |
| Authorized Official Name and Position | Mark Vinson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8436560353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopehealth Lake City Sauls Street 360 N Irby St Florence SC 29501-2808 Ph: (843) 667-9414 | Hopehealth Lake City Sauls Street 148 Sauls St Ste A Lake City SC 29560-2677 Ph: (843) 394-1051 |
| NPI Number | 1831442854 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 08/22/2022 |
| Medicare PECOS PAC ID | 4082510623 |
|---|---|
| Medicare Enrollment ID | O20130404000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831442854 | 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 |
Lake City Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 W Main St, Lake City, SC 29560 Phone: 843-374-2021 Fax: 843-374-2030 | |
Lake City Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 W Main St, Lake City, SC 29560 Phone: 843-374-2021 Fax: 843-374-2030 |