| Tandem Health Sc | |
|
200 W. Clark St. Pinewood SC 29125-9998 | |
| (803) 830-6184 | |
| (803) 774-4626 |
| Full Name | Tandem Health Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 W. Clark St., Pinewood, South Carolina |
| Authorized Official Name and Position | Annie Brown (CEO) |
| Authorized Official Contact | 8037744545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tandem Health Sc 550 S. Pike West Sumter SC 29150-2616 Ph: (803) 324-6975 | Tandem Health Sc 200 W. Clark St. Pinewood SC 29125-9998 Ph: (803) 830-6184 |
| NPI Number | 1689447534 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 3870575855 |
|---|---|
| Medicare Enrollment ID | O20241119001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689447534 | NPI | - | NPPES |
| FQC309 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tandem Health Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 E Clark St, Pinewood, SC 29125 Phone: 803-774-4516 Fax: 803-452-5712 |