| Edisto Regional Health Services Inc. | |
|
651a Harry C Raysor Dr St Matthews SC 29135-1487 | |
| (803) 395-3755 | |
| (803) 874-3905 |
| Full Name | Edisto Regional Health Services Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 651a Harry C Raysor Dr, St Matthews, South Carolina |
| Authorized Official Name and Position | Christal Leann Fulmer (REVENUE INTEGRITY MANAGER) |
| Authorized Official Contact | 8033954248 |
| 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) 395-4497 | Edisto Regional Health Services Inc. 651a Harry C Raysor Dr St Matthews SC 29135-1487 Ph: (803) 395-3755 |
| NPI Number | 1396976700 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396976700 | NPI | - | NPPES |
| CN8991 | Other | SC | RRMEDICARE |
| GP5396 | Medicaid | SC | |
| 017 | Other | SC | BCBS |
| 015 | Other | SC | BLUECHOICE |
| 015 | Other | SC | TRICARE |
| CK8831 | Other | SC | RRMEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
Musc Community Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 651a Harry C Raysor Dr, St Matthews, SC 29135 Phone: 843-792-1414 | |
Calhoun County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Saints Ave, St Matthews, SC 29135 Phone: 803-874-3071 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Old Belleville Rd, St Matthews, SC 29135 Phone: 888-221-1826 | |
Terrell L Stone Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Harry C Raysor Dr, St Matthews, SC 29135 Phone: 803-874-3902 Fax: 803-874-3905 | |
Edisto Regional Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Harry C Raysor Dr, St Matthews, SC 29135 Phone: 803-874-3902 Fax: 803-874-3905 | |
Terrell L Stone Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Harry C Raysor Dr, St Matthews, SC 29135 Phone: 803-874-3902 Fax: 803-874-3905 |