| Sumter Family Health Center - Dental Services | |
|
616 Bultman Dr Suite #a Sumter SC 29150-2593 | |
| (803) 774-4500 | |
| Not Available |
| Full Name | Sumter Family Health Center - Dental Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 616 Bultman Dr, Sumter, South Carolina |
| Authorized Official Name and Position | Annie Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8037744500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumter Family Health Center - Dental Services 1278 N Lafayette Dr Sumter SC 29150-2964 Ph: (803) 774-4500 | Sumter Family Health Center - Dental Services 616 Bultman Dr Suite #a Sumter SC 29150-2593 Ph: (803) 774-4500 |
| NPI Number | 1467810937 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 01/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467810937 | NPI | - | NPPES |
| 7124 | Other | SC | MEDICARE |
| FQC048 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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