| Family Health Care | |
|
120 Darlington Drive Aiken SC 29803 | |
| (803) 641-1404 | |
| Not Available |
| Full Name | Family Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Darlington Drive, Aiken, South Carolina |
| Authorized Official Name and Position | Carolyn Emanuel- Mcclain (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8033807012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care 120 Darlington Drive Aiken SC 29803 Ph: (803) 641-1404 | Family Health Care 120 Darlington Drive Aiken SC 29803 Ph: (803) 641-1404 |
| NPI Number | 1053362111 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 05/08/2012 |
| Medicare PECOS PAC ID | 8527046010 |
|---|---|
| Medicare Enrollment ID | O20040712000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053362111 | NPI | - | NPPES |
| 046051 | Medicaid | SC | |
| FQC095 | Medicaid | SC | |
| RHC078 | Other | SC MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Amanda B Salas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831128958 PECOS PAC ID: 1254389570 Enrollment ID: I20050217000557 |
| Provider Name | Kenneth P Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548344096 PECOS PAC ID: 6709895261 Enrollment ID: I20060411000304 |
| Provider Name | Sandra J Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093738676 PECOS PAC ID: 9133213317 Enrollment ID: I20080125000010 |
| Provider Name | Michael D Fulford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093734469 PECOS PAC ID: 7113084757 Enrollment ID: I20090325000649 |
| Provider Name | Jose Agustin Luis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730272410 PECOS PAC ID: 5890828503 Enrollment ID: I20100802000833 |
| Provider Name | Lloyd Barry Daniels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124079280 PECOS PAC ID: 6608882832 Enrollment ID: I20100830000718 |
| Provider Name | Jemetta S Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962757302 PECOS PAC ID: 5991953515 Enrollment ID: I20120924000245 |
| Provider Name | Victoria Stoeppler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720080104 PECOS PAC ID: 9335031178 Enrollment ID: I20150710001551 |
| Provider Name | Chaunesse N Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578011771 PECOS PAC ID: 2769735463 Enrollment ID: I20181026000237 |
| Provider Name | Benjamin Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497947733 PECOS PAC ID: 7810065364 Enrollment ID: I20200421001941 |
| Provider Name | Burgess M Mauldin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013244664 PECOS PAC ID: 5698802593 Enrollment ID: I20240208000488 |
| Provider Name | Natalie Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053738013 PECOS PAC ID: 9436475530 Enrollment ID: I20240222000509 |
| Provider Name | Adam Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093110231 PECOS PAC ID: 2567822398 Enrollment ID: I20240222000639 |
| Provider Name | Haley D Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336595933 PECOS PAC ID: 2466743984 Enrollment ID: I20240223002819 |
| Provider Name | Michelle Davignon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275091712 PECOS PAC ID: 3870938186 Enrollment ID: I20240227000764 |
| Provider Name | Brianna Sample |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972173813 PECOS PAC ID: 5698110815 Enrollment ID: I20240228000431 |
| Provider Name | Lexus Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962982793 PECOS PAC ID: 6204271448 Enrollment ID: I20240228000933 |
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