Organization
FETTER HEALTH CARE NETWORK, INC.
Active
Organization
FETTER HEALTH CARE NETWORK, INC.
Active
Other names
Fetter Health Care Network-Hollywood Site
Organization subpart
No
Provider details
NPI number
Authorized official
ARETHA R JONES (CHIEF EXECUTIVE OFFICER)
(843) 722-4112
Entity
Organization
Contact information
Practice address
5225 HIGHWAY 165, HOLLYWOOD, SC 29449-6144
(843) 889-2272
(843) 889-2274
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
—
FQC075
—
SC
Enumeration date
10/14/2009
Last updated
11/11/2025
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