Tandem Health Sc | |
200 W. Clark St. Pinewood SC 29125-9998 | |
(803) 830-6184 | |
(803) 774-4626 |
Full Name | Tandem Health Sc |
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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 |
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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 |
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Provider Enumeration Date | 11/02/2023 |
Last Update Date | 12/11/2024 |
Medicare PECOS PAC ID | 3870575855 |
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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 |