| Carolina Rural Practice Management, Inc. | |
|
22 Gardener Rd Box 247 Blackville SC 29817-0247 | |
| (803) 284-2041 | |
| (803) 284-5516 |
| Full Name | Carolina Rural Practice Management, Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 22 Gardener Rd, Blackville, South Carolina |
| Authorized Official Name and Position | Charlie Clifton Alsbrooks (ADMINISTRATOR) |
| Authorized Official Contact | 8036416277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Rural Practice Management, Inc. Po Box 247 22 Gardener Road Blackville SC 29817-0247 Ph: (803) 284-2041 | Carolina Rural Practice Management, Inc. 22 Gardener Rd Box 247 Blackville SC 29817-0247 Ph: (803) 284-2041 |
| NPI Number | 1699808006 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699808006 | NPI | - | NPPES |
| RHC005 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 08504 (South Carolina) | Primary |
Barnwell County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516 | |
Low Country Health Care System Mobile Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Baker St N, Blackville, SC 29817 Phone: 803-284-1045 | |
Low Country Health Care System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Baker Street, Blackville, SC 29817 Phone: 803-284-1045 Fax: 803-284-3094 | |
Sc Regional Health System Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516 | |
Barnwell County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516 | |
Carolina Rural Practice Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-641-6277 |