| Family Health Centers At Holly Hill | |
|
922 Holly St Holly Hill SC 29059-2762 | |
| (803) 531-6900 | |
| Not Available |
| Full Name | Family Health Centers At Holly Hill |
|---|---|
| Speciality | Clinic/Center |
| Location | 922 Holly St, Holly Hill, South Carolina |
| Authorized Official Name and Position | Leon A Brunson (CEO) |
| Authorized Official Contact | 8035316900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centers At Holly Hill 3310 Magnolia St Orangeburg SC 29115-1466 Ph: (803) 531-6900 | Family Health Centers At Holly Hill 922 Holly St Holly Hill SC 29059-2762 Ph: (803) 531-6900 |
| NPI Number | 1609279744 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2860305075 |
|---|---|
| Medicare Enrollment ID | O20150605001247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609279744 | NPI | - | NPPES |
| PENDING | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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