Organization
LOW COUNTRY HEALTH CARE SYSTEM MOBILE HEALTH SERVICES
Active
Parent organization
LOW COUNTRY HEALTH CARE SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOW COUNTRY HEALTH CARE SYSTEM
Authorized official
DR. ASHLEY BARNES (CHIEF EXECUTIVE OFFICER)
(803) 632-2533
Entity
Organization
Contact information
Practice address
130 BAKER ST N, BLACKVILLE, SC 29817-2426
(803) 284-1045
Mailing address
130 BAKER ST N, BLACKVILLE, SC 29817-2426
(803) 284-1045
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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