Fetter Health Care Network INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Hollywood, SC. Organization (NPI-2).
NPI number1750832341
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1750832341
- Entity type
- Organization (NPI-2)
- Legal business name
- Fetter Health Care Network INC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2016
- Last updated
- Oct 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Fetter Health Care Network -White Camp Mirgrant Location (Doing Business As)
Practice location
7555 Sc Hwy 162Hollywood, SC 29449-6144
Phone 843-722-4112 · Fax 843-577-8960
Mailing address
51 Nassau StCharleston, SC 29403-5513
Phone 843-722-4112 · Fax 843-577-8960
Authorized official
Aretha Jones
Ceo
8437224112
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