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Organization

UNION HOSPITAL DISTRICT CAROLINAS HEALTH ASSOCIATES - SOUTH M

Active
Other names
CENTER FOR FAMILY HEALTHCARE, P. A.
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF W RUSH (CHIEF FINANCIAL OFFICER)
(864) 429-2601
Entity
Organization

Contact information

Practice address
801 W MAIN ST, UNION, SC 29379-2717
(864) 429-8029
(864) 429-3515
Mailing address
801 W MAIN ST, UNION, SC 29379-2717
(864) 429-8029
(864) 429-3515

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20020245
SELECT HEALTH MEDICAID HO
SC
01
DG6642
MEDICARE RAILROAD
SC
05
GP1304
SC
Enumeration date
05/18/2006
Last updated
06/21/2018
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