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Contact Information

FRANKLIN C. FETTER FAMILY HEALTH CENTER, INC.
14405 BELLS HWY
LODGE, SC29082-9331
 Phone: 843-768-9518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

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

NPI Profile & details for FRANKLIN C. FETTER FAMILY HEALTH CENTER, INC.

NPI Number 1760770994
LBN Legal business name FRANKLIN C. FETTER FAMILY HEALTH CENTER, INC.
Authorized official RONALD RAVENELL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2011
Last updated 07/21/2011 - About 15 years ago
Identifiers n/a
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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