| Mccormick Family Practice | |
|
1319 S Main St Mc Cormick SC 29835-7928 | |
| (864) 852-3336 | |
| (864) 852-3339 |
| Full Name | Mccormick Family Practice |
|---|---|
| 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 |
|---|---|
| Mccormick Family Practice 219a North Mine Street Mccormick SC 29835 Ph: (864) 852-3336 | Mccormick Family Practice 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 |
| Certification 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 |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Secondary |
Self Medical Center Savannah Lakes Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Holiday Rd, Mc Cormick, SC 29835 Phone: 864-391-5011 |
Self Medical Center Savannah Lakes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Holiday Rd, Mc Cormick, SC 29835 Phone: 864-391-5011 |
Mccormick Elementary School Health Clinic 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 |
Family Healthcare Savannah Lakes, a Division of 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 |