| Self Regional Healthcare Partners | |
|
155 Ridge Medical Plaza Rd Edgefield SC 29824-4531 | |
| (803) 637-3146 | |
| (803) 637-6597 |
| Full Name | Self Regional Healthcare Partners |
|---|---|
| Speciality | Clinic/Center |
| Location | 155 Ridge Medical Plaza Rd, Edgefield, South Carolina |
| Authorized Official Name and Position | Matthew T Logan (PRESIDENT AND CEO) |
| Authorized Official Contact | 8647254253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Regional Healthcare Partners 1325 Spring St Greenwood SC 29646-3860 Ph: (864) 725-4111 | Self Regional Healthcare Partners 155 Ridge Medical Plaza Rd Edgefield SC 29824-4531 Ph: (803) 637-3146 |
| NPI Number | 1639653751 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 12/14/2021 |
| Medicare PECOS PAC ID | 1557606118 |
|---|---|
| Medicare Enrollment ID | O20181231000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639653751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | (* (Not Available)) | Secondary |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Augusta Rd, Edgefield, SC 29824 Phone: 803-637-9336 | |
Self Regional Healthcare Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Ridge Medical Plaza Rd, Edgefield, SC 29824 Phone: 803-637-3146 Fax: 803-637-6597 | |
Edgefield Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Ridge Medical Plaza Rd, Edgefield, SC 29824 Phone: 803-637-3146 Fax: 803-637-3169 | |
Edgefield Medical Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Ridge Medical Plaza Rd, Edgefield, SC 29824 Phone: 803-637-3146 Fax: 803-637-5211 |