Organization
LANDRUM FAMILY HEALTHCARE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M WOODFIN FNP (OWNER/PRESIDENT)
(864) 457-2363
Entity
Organization
Contact information
Practice address
108 W RUTHERFORD ST, LANDRUM, SC 29356-1526
(864) 457-2363
(864) 457-2736
Mailing address
108 W RUTHERFORD ST, LANDRUM, SC 29356-1526
(864) 457-2363
(864) 457-2736
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
472140
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472140
RURAL HEALTH SC MEDICAID
SC
05
—
472581
—
SC
05
—
7000138
—
NC
01
—
7000470
NC MEDICAID
NC
Enumeration date
09/11/2007
Last updated
09/17/2008
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