| Carolina Health Centers, Inc. | |
|
113 Liner Dr Greenwood SC 29646-2311 | |
| (864) 941-8170 | |
| (864) 388-1718 |
| Full Name | Carolina Health Centers, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 113 Liner Dr, Greenwood, South Carolina |
| Authorized Official Name and Position | Lisa Y Gilmer (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8649418121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Health Centers, Inc. 113 Liner Dr Greenwood SC 29646-2311 Ph: (864) 941-8170 | Carolina Health Centers, Inc. 113 Liner Dr Greenwood SC 29646-2311 Ph: (864) 941-8170 |
| NPI Number | 1972636025 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 06/21/2010 |
| Medicare PECOS PAC ID | 5496707804 |
|---|---|
| Medicare Enrollment ID | O20130517000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972636025 | NPI | - | NPPES |
| FQC051 | Medicaid | SC | |
| GP1632 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Self Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Epting Ave, Greenwood, SC 29646 Phone: 864-725-7880 Fax: 864-725-7875 | |
Carolina Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Main St, Greenwood, SC 29646 Phone: 864-396-0117 Fax: 864-388-0648 | |
Self Regional Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Overland Dr, Greenwood, SC 29646 Phone: 864-227-6641 Fax: 864-227-3953 | |
Self Regional Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Rockcreek Blvd, Greenwood, SC 29649 Phone: 864-725-5020 Fax: 864-725-5615 | |
Self Regional Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Vinecrest Ct # 1000, Greenwood, SC 29646 Phone: 864-725-3350 Fax: 864-725-3351 | |
Self Regional Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Vinecrest Ct # 600, Greenwood, SC 29646 Phone: 864-227-2900 Fax: 864-227-6487 | |
Asa Q Hatfield Jr Md Inc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Overland Drive, Greenwood, SC 29646 Phone: 864-227-8308 Fax: 864-227-9864 |