| The Palmetto Palace | |
| 
					217 Flat St E Allendale SC 29810-4647  | |
| (843) 532-3169 | |
| Not Available | 
| Full Name | The Palmetto Palace | 
|---|---|
| Speciality | Clinic/center - Rural Health | 
| Location | 217 Flat St E, Allendale, South Carolina | 
| Authorized Official Name and Position | Youlanda Gibbs (EXECUTIVE DIRECTOR/FOUNDER) | 
| Authorized Official Contact | 8435323169 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| The Palmetto Palace Po Box 21076 Charleston SC 29413-1076 Ph: (843) 532-3169  | The Palmetto Palace 217 Flat St E Allendale SC 29810-4647 Ph: (843) 532-3169  | 
| NPI Number | 1962969154 | 
|---|---|
| Provider Enumeration Date | 02/25/2019 | 
| Last Update Date | 02/25/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962969154 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Allendale County Hospital Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Memorial Ave N, Allendale, SC 29810 Phone: 803-632-3311 Fax: 803-632-3415  | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 571 Memorial Ave N, Allendale, SC 29810 Phone: 304-429-1088  | |
Allendale County Hospital Board Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 623 Memorial Ave N, Allendale, SC 29810 Phone: 803-584-2128 Fax: 803-584-2125  | |
The Palmetto Palace Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Flat St E, Allendale, SC 29810 Phone: 843-532-3169  |