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Organization

FETTER HEALTH CARE NETWORK INC

Active
Other names
Fetter Health Care Network-ElijahWright Site
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARETHA JONES (EXECUTIVE DIRECTOR)
(843) 722-4112
Entity
Organization

Contact information

Practice address
1681 OLD HIGHWAY 6, CROSS, SC 29436-3602
(843) 753-2334
(843) 753-7986
Mailing address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 577-8960

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
421839
MEDICARE PART A#
WI
05
FQC027
SC
Enumeration date
08/19/2006
Last updated
10/18/2016
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  • Eligibility checks
  • EDI platform