| Eb Ellington Elementary School | |
|
5540 Old Jacksonboro Rd Ravenel SC 29470-5201 | |
| (843) 723-2570 | |
| (843) 723-7011 |
| Full Name | Eb Ellington Elementary School |
|---|---|
| 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 |
|---|---|
| Eb Ellington Elementary School 51 Nassau St Charleston SC 29403-5513 Ph: (843) 722-4112 | Eb Ellington Elementary School 5540 Old Jacksonboro Rd Ravenel SC 29470-5201 Ph: (843) 723-2570 |
| NPI Number | 1144779182 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 11/11/2025 |
| Certification Date | 11/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144779182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |