Organization
LOW COUNTRY HEALTH CARE SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BARNES (CEO)
(803) 632-2533
Entity
Organization
Contact information
Practice address
333 REVOLUNTIONARY TRAIL, FAIRFAX, SC 29827-7109
(803) 632-2533
(803) 632-2451
Mailing address
PO BOX 990, FAIRFAX, SC 29827
(803) 632-2533
(803) 632-2451
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQC044
—
SC
Enumeration date
10/05/2006
Last updated
11/15/2023
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