FETTER HEALTH CARE NETWORK, INC; NPI #1962737601

Contact Information

FETTER HEALTH CARE NETWORK, INC

302 MEDICAL PARK DR
SUITE 111
WALTERBORO, SC 29488-5747

Phone: 843-549-6853
Fax: 843-549-7961
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 FETTER HEALTH CARE NETWORK, INC

NPI Number 1962737601

LBN Legal business name FETTER HEALTH CARE NETWORK, INC

Authorized official ARETHA JONES - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/14/2009

Last updated 10/18/2016 - About 10 years ago

Identifiers

Medicaid

FQC076

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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