| Fetter Health Care Network, Inc. | |
|
3180 Thomasina Mcpherson Blvd North Charleston SC 29405-8283 | |
| (843) 745-7131 | |
| Not Available |
| Full Name | Fetter Health Care Network, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3180 Thomasina Mcpherson Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Aretha R Jones (CEO) |
| Authorized Official Contact | 8437224112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 3180 Thomasina Mcpherson Blvd North Charleston SC 29405-8283 Ph: (843) 745-7131 |
| NPI Number | 1467198903 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 10/28/2022 |
| Medicare PECOS PAC ID | 9032215199 |
|---|---|
| Medicare Enrollment ID | O20220808001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467198903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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