| Carolina Health Centers, Inc. | |
|
1319 S Main St Mc Cormick SC 29835-7928 | |
| (864) 852-3336 | |
| (864) 852-3339 |
| Full Name | Carolina Health Centers, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1319 S Main St, Mc Cormick, South Carolina |
| Authorized Official Name and Position | Lisa Y Gilmer (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8649418121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Health Centers, Inc. 219a North Mine Street Mccormick SC 29835 Ph: (864) 852-3336 | Carolina Health Centers, Inc. 1319 S Main St Mc Cormick SC 29835-7928 Ph: (864) 852-3336 |
| NPI Number | 1063545119 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 5496707804 |
|---|---|
| Medicare Enrollment ID | O20090303000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063545119 | NPI | - | NPPES |
| FQC002 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Self Regional Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Holiday Rd, Mc Cormick, SC 29835 Phone: 864-391-5011 | |
Carolina Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6977 Sc Highway 28 S, Mc Cormick, SC 29835 Phone: 864-852-3336 Fax: 864-852-3338 | |
Self Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Holiday Rd, Mc Cormick, SC 29835 Phone: 864-391-5011 Fax: 864-391-5012 |