Organization
FETTER HEALTH CARE NETWORK, INC
Active
Organization
FETTER HEALTH CARE NETWORK, INC
Active
Other names
Franklin C Fetter Family Health Center-Hospitalization
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REUBEN J PETTIFORD (EXECUTIVE DIRECTOR)
(843) 722-4112
Entity
Organization
Contact information
Practice address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 577-8960
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
05
—
CBP015
—
SC
Enumeration date
11/09/2006
Last updated
04/15/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up