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Contact Information

CAROLINA HEALTH CENTERS, INC.
17124 HIGHWAY 72 W
WATERLOO, SC29384-5144
 Phone: 864-819-4900
 Fax: 864-819-3429
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for CAROLINA HEALTH CENTERS, INC.

NPI # 1770616013
LBN Legal business name CAROLINA HEALTH CENTERS, INC.
Authorized official LISA GILMER - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2007
Last updated 06/21/2010 - About 16 years ago
Identifiers
SC Medicaid FQC058
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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