| Carolina Health Centers, Inc. | |
|
201 Aiken Rd. Ridge Spring SC 29129 | |
| (803) 685-3100 | |
| (803) 685-5831 |
| Full Name | Carolina Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Aiken Rd., Ridge Spring, 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. Po Box 128 Ridge Spring SC 29129 Ph: (803) 685-3100 | Carolina Health Centers, Inc. 201 Aiken Rd. Ridge Spring SC 29129 Ph: (803) 685-3100 |
| NPI Number | 1538127352 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 06/21/2010 |
| Medicare PECOS PAC ID | 5496707804 |
|---|---|
| Medicare Enrollment ID | O20100615000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538127352 | NPI | - | NPPES |
| FQC020 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |