Caresouth Carolina, Inc.

LBN: Caresouth Carolina, Inc.
Caresouth Carolina, Inc. is an health care organization with primary practice located at 1268 S 4Th St , Hartsville SC 29550-0703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Caresouth Carolina, Inc. can be contacted via phone (843) 332-3422, or through Lewis, Ann via phone (843) 857-0111.

Contact Information

Primary practice address
1268 S 4Th St Hartsville SC 29550-0703
Phone: (843) 332-3422
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Ann
Phone: (843) 857-0111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1720082571
LBN Legal business name Caresouth Carolina, Inc.
DBA Doing business as
Authorized official Lewis, Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 4th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720082571 NPPES
South Carolina MEDICAID CBP011
South Carolina MEDICAID FQC015

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