Organization
TANDEM HEALTH SC
Active
Organization
TANDEM HEALTH SC
Active
Parent organization
SUMTER FAMILY HEALTH CENTER
Other names
Tandem Health - Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMTER FAMILY HEALTH CENTER
Authorized official
ANNIE L BROWN (CEO)
(803) 774-4500
Entity
Organization
Contact information
Practice address
319 N MAIN ST, SUMTER, SC 29150-4258
(803) 774-4500
(803) 305-1466
Mailing address
PO BOX 250, SUMTER, SC 29151-0250
(803) 774-4500
(803) 774-4641
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-1009
MEDICARE PROVIDER NUMBER
SC
01
—
7124
MEDICARE ID
SC
Enumeration date
12/11/2013
Last updated
10/14/2019
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