| Franklin C Fetter Family Health Center, Inc. | |
| 
					2100 Charlie Hall Blvd Charleston SC 29414-5832  | |
| (843) 722-4112 | |
| (843) 722-4802 | 
| Full Name | Franklin C Fetter Family Health Center, Inc. | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 2100 Charlie Hall Blvd, Charleston, South Carolina | 
| Authorized Official Name and Position | Aretha R Jones (CEO) | 
| Authorized Official Contact | 8437224112 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Franklin C Fetter Family Health Center, Inc. 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112  | Franklin C Fetter Family Health Center, Inc. 2100 Charlie Hall Blvd Charleston SC 29414-5832 Ph: (843) 722-4112  | 
| NPI Number | 1164860060 | 
|---|---|
| Provider Enumeration Date | 06/13/2013 | 
| Last Update Date | 10/28/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164860060 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
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