| Caresouth Carolina, Inc | |
|
999 Cheraw St Bennettsville SC 29512-2420 | |
| (843) 479-2341 | |
| Not Available |
| Full Name | Caresouth Carolina, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 999 Cheraw St, Bennettsville, South Carolina |
| Authorized Official Name and Position | Ann Lewis (CEO) |
| Authorized Official Contact | 8438570111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caresouth Carolina, Inc Po Box 1090 Hartsville SC 29551-1090 Ph: () - | Caresouth Carolina, Inc 999 Cheraw St Bennettsville SC 29512-2420 Ph: (843) 479-2341 |
| NPI Number | 1457398521 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 09/04/2007 |
| Medicare PECOS PAC ID | 1052221314 |
|---|---|
| Medicare Enrollment ID | O20030827000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457398521 | NPI | - | NPPES |
| FQC013 | Medicaid | SC | |
| CBP012 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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