National Provider Identifier Database

ST JAMES HEALTH AND WELLNESS INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

ST JAMES HEALTH AND WELLNESS INC
422 N FRASER ST
GEORGETOWN, SC29440-3260
Phone: 843-436-1333
Fax: 843-436-1335
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Adolescent Medicine 2080A0000X
Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for ST JAMES HEALTH AND WELLNESS INC

NPI Number 1366568594
Legal business name
LBN
ST JAMES HEALTH AND WELLNESS INC
Authorized official SANDRA GILLIARD - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/21/2007
Last updated 06/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 37759
  • SC Medicaid: 377596

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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