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.
3080 HIGHWAY 15-401 E
MCCOLL, SC29570-6128
Phone: 843-523-5751
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CARESOUTH CAROLINA, INC.

NPI Number 1811930076
Legal business name
LBN
CARESOUTH CAROLINA, INC.
Authorized official ANN LEWIS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/14/2006
Last updated 06/17/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: FQC063

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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