| Barnwell Pediatrics | |
|
10706 Marlboro Avenue Barnwell SC 29812-1529 | |
| (803) 259-7337 | |
| (803) 259-9505 |
| Full Name | Barnwell Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 10706 Marlboro Avenue, Barnwell, South Carolina |
| Authorized Official Name and Position | Darainey Hudson (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 8036322533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barnwell Pediatrics 86 Wren St Barnwell SC 29812-1529 Ph: (803) 259-5762 | Barnwell Pediatrics 10706 Marlboro Avenue Barnwell SC 29812-1529 Ph: (803) 259-7337 |
| NPI Number | 1962442244 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 4284530940 |
|---|---|
| Medicare Enrollment ID | O20160609001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962442244 | NPI | - | NPPES |
| FQC174 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Primary |
Healthwise Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 154 Wren St, Barnwell, SC 29812 Phone: 803-259-3399 Fax: 803-259-4477 | |
Blackville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-1000 Fax: 803-259-3974 | |
Williston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-1000 | |
Barnwell County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Reynolds Road, Barnwell, SC 29812 Phone: 803-541-4161 Fax: 803-541-4160 | |
Barnwell Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3050 | |
Williston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-1000 | |
Blackville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-1000 |