Organization
FOREST FAMILY CARE, INC
Active
Other names
Forest Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GRACE SMITH CHASSE FNP-C (OWNER/CEO)
(843) 903-4500
Entity
Organization
Contact information
Practice address
3874 RENEE DR UNIT B, MYRTLE BEACH, SC 29579-4358
(843) 903-4500
(843) 903-4505
Mailing address
3874 RENEE DR UNIT B, MYRTLE BEACH, SC 29579-4358
(843) 997-2380
(843) 903-4505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F2018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5747
—
SC
01
—
NP5615
MEDICAID ID
SC
Enumeration date
07/09/2011
Last updated
03/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us