| Edisto Regional Health Services Inc. | |
|
4631 Savannah Highway North SC 29112-8180 | |
| (803) 247-2428 | |
| (803) 247-2650 |
| Full Name | Edisto Regional Health Services Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4631 Savannah Highway, North, South Carolina |
| Authorized Official Name and Position | Liza Porterfield (C F O) |
| Authorized Official Contact | 8033954458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edisto Regional Health Services Inc. Po Box 1245 Orangeburg SC 29116-1245 Ph: (803) 395-4762 | Edisto Regional Health Services Inc. 4631 Savannah Highway North SC 29112-8180 Ph: (803) 247-2428 |
| NPI Number | 1841595667 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 09/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841595667 | NPI | - | NPPES |
| 009 | Other | SC | BCBS |
| 009 | Other | SC | TRICARE |
| CN8991 | Other | SC | RRMEDICARE |
| GP44779 | Medicaid | SC | |
| 42-3881 | Other | SC | RHC MEDICAID |
| CK8831 | Other | SC | RRMEDICARE |
| 009 | Other | SC | BLUECHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Singleton Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Boltin Ave, North, SC 29112 Phone: 803-247-3900 Fax: 803-247-3930 | |
Edisto Regional Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4631 Savannah Highway, North, SC 29112 Phone: 803-395-2058 |