| Fetter Health Care Network Inc | |
| 
					5540 Old Jacksonboro Rd Ravenel SC 29470-5201  | |
| (843) 723-2570 | |
| (843) 723-7011 | 
| Full Name | Fetter Health Care Network Inc | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 5540 Old Jacksonboro Rd, Ravenel, 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 | 
|---|---|
| Fetter Health Care Network Inc 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112  | Fetter Health Care Network Inc 5540 Old Jacksonboro Rd Ravenel SC 29470-5201 Ph: (843) 723-2570  | 
| NPI Number | 1144779182 | 
|---|---|
| Provider Enumeration Date | 10/03/2016 | 
| Last Update Date | 10/28/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144779182 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |