| Sandhills Medical Foundation, Inc. | |
| 
					103 Main Street South Bethune SC 29009  | |
| (866) 737-4031 | |
| Not Available | 
| Full Name | Sandhills Medical Foundation, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 103 Main Street South, Bethune, South Carolina | 
| Authorized Official Name and Position | Ernest J Wardlaw (CEO) | 
| Authorized Official Contact | 8433358291 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sandhills Medical Foundation, Inc. Po Box 366 Mc Bee SC 29101-0366 Ph: (803) 669-3461  | Sandhills Medical Foundation, Inc. 103 Main Street South Bethune SC 29009 Ph: (866) 737-4031  | 
| NPI Number | 1083228779 | 
|---|---|
| Provider Enumeration Date | 09/01/2020 | 
| Last Update Date | 09/29/2023 | 
| Medicare PECOS PAC ID | 8224949821 | 
|---|---|
| Medicare Enrollment ID | O20210316001973 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083228779 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
Kershaw Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 South Main Street, Bethune, SC 29009 Phone: 843-334-6557 Fax: 843-334-6583  |