Organization
CARETEAM PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA L HAYNES (CEO)
(843) 234-8220
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL PARK DRIVE, CONWAY, SC 29526-9260
(843) 234-0005
(843) 234-8235
Mailing address
100 PROFESSIONAL PARK DRIVE, CONWAY, SC 29526-9260
(843) 234-0005
(843) 234-8257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC220
—
SC
05
—
GP5499
—
SC
Enumeration date
08/17/2010
Last updated
06/04/2025
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