National Provider Identifier Database

CARESOUTH CAROLINA 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

CARESOUTH CAROLINA, INC
204 PERRY WILEY WAY
CHESTERFIELD, SC29709-5701
Phone: 843-623-5080
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CARESOUTH CAROLINA, INC

NPI Number 1629015755
Legal business name
LBN
CARESOUTH CAROLINA, INC
Authorized official ANN LEWIS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/31/2006
Last updated 04/16/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: CBP012
  • SC Medicaid: FQC064

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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