| Pediatrics Of Newberry | |
|
2525 Kinard St Newberry SC 29108-2909 | |
| (803) 405-0220 | |
| (803) 405-0222 |
| Full Name | Pediatrics Of Newberry |
|---|---|
| Speciality | Clinic/Center |
| Location | 2525 Kinard St, Newberry, South Carolina |
| Authorized Official Name and Position | Delgado Cantave (CEO) |
| Authorized Official Contact | 8037335969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrics Of Newberry Po Box 3788 Columbia SC 29230-3788 Ph: (803) 753-5591 | Pediatrics Of Newberry 2525 Kinard St Newberry SC 29108-2909 Ph: (803) 405-0220 |
| NPI Number | 1891007233 |
|---|---|
| Provider Enumeration Date | 07/13/2010 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 3274434220 |
|---|---|
| Medicare Enrollment ID | O20120824000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891007233 | NPI | - | NPPES |
| FQC031 | Medicaid | SC | |
| CBP018 | Medicaid | SC | |
| FQC131 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Newberry Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1109 Wilson St, Newberry, SC 29108 Phone: 803-321-9105 | |
Newberry County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910a College St, Newberry, SC 29108 Phone: 803-405-7469 Fax: 803-276-6885 | |
Compass Family Medicine,pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2605 Kinard Street, Suite 208, Newberry, SC 29108 Phone: 803-276-4860 Fax: 803-276-2812 | |
Michael J White Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 Johnstone St, Newberry, SC 29108 Phone: 803-405-1711 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Main St, Newberry, SC 29108 Phone: 803-276-5690 | |
Newberry Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Kinard Street, Suite 200, Newberry, SC 29108 Phone: 803-405-1900 | |
Ncmh Women's Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 Pond Field Road, Suite A3, Newberry, SC 29108 Phone: 803-405-7464 |