| Family Medical Center Of Blackville | |
|
130 Baker Street Blackville SC 29817 | |
| (803) 284-1045 | |
| (803) 284-3094 |
| Full Name | Family Medical Center Of Blackville |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Baker Street, Blackville, South Carolina |
| Authorized Official Name and Position | Ashley L Barnes (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8036322533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Of Blackville 86 Wren St Barnwell SC 29812-1529 Ph: (803) 259-5762 | Family Medical Center Of Blackville 130 Baker Street Blackville SC 29817 Ph: (803) 284-1045 |
| NPI Number | 1235225608 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 4284530940 |
|---|---|
| Medicare Enrollment ID | O20100607000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235225608 | NPI | - | NPPES |
| F785 | Other | SC | MEDICARE PART B PTAN |
| FQC077 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Primary |
Blackville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516 | |
Blackville Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516 | |
Blackville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516 | |
Blackville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardener Rd, Box 247, Blackville, SC 29817 Phone: 803-284-2041 Fax: 803-284-5516 | |
Wagner Medical Center, Williston Medical Center, Blackville Medical Ce Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Gardner Rd, Blackville, SC 29817 Phone: 803-641-6277 |