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Contact Information

SANDHILLS MEDICAL FOUNDATION, INC.
409 E CHURCH ST
JEFFERSON, SC29718-8701
 Phone: 843-658-3005
 Fax: 843-658-7780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SANDHILLS MEDICAL FOUNDATION, INC.

NPI Number 1912065467
LBN Legal business name SANDHILLS MEDICAL FOUNDATION, INC.
Authorized official ERNEST WARDLAW - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 09/29/2023 - About 3 years ago
Identifiers
SC Medicaid FQC022
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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