Fetter Health Care Network-Walterboro Site

LBN: Fetter Health Care Network, Inc
Fetter Health Care Network-Walterboro Site is an health care organization with primary practice located at 302 Medical Park Dr Suite 111, Walterboro SC 29488-5747. 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. Fetter Health Care Network, Inc can be contacted via phone (843) 549-6853, or through Jones, Aretha via phone (843) 722-4112.

Contact Information

Primary practice address
302 Medical Park Dr Suite 111 Walterboro SC 29488-5747
Phone: (843) 549-6853
Fax: (843) 549-7961
Website:
Map and Directions
Authorized official contact:
Name: Jones, Aretha
Phone: (843) 722-4112

Health care specialties

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

Profile Details

NPI number 1962737601
LBN Legal business name Fetter Health Care Network, Inc
DBA Doing business as Fetter Health Care Network-Walterboro Site
Authorized official Jones, Aretha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2009
Last updated Oct 18th, 2016 - about 9 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 1962737601 NPPES
South Carolina MEDICAID FQC076

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