LOW COUNTRY HEALTH CARE SYSTEM, INC; NPI #1649366022

Contact Information

LOW COUNTRY HEALTH CARE SYSTEM, INC

333 REVOLUNTIONARY TRAIL
FAIRFAX, SC 29827-7109

Phone: 803-632-2533
Fax: 803-632-2451
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for LOW COUNTRY HEALTH CARE SYSTEM, INC

NPI # 1649366022

LBN Legal business name LOW COUNTRY HEALTH CARE SYSTEM, INC

Authorized official ASHLEY BARNES - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/05/2006

Last updated 11/15/2023 - About 3 years ago

Identifiers

Medicaid

FQC044

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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