Organization
LANDRUM FAMILY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M WOODFIN-HIGHTOWER FNP (PRESIDENT)
(864) 457-2363
Entity
Organization
Contact information
Practice address
108 W RUTHERFORD ST, LANDRUM, SC 29356-1526
(864) 457-2363
(864) 457-2736
Mailing address
PO BOX 657, LANDRUM, SC 29356-0657
(864) 457-2363
(864) 457-2736
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-8995
MEDICARE RURAL HEALTH
SC
05
—
7000470
—
NC
05
—
GP5191
—
SC
01
—
RHC183
MEDICAID RURAL HEALTH
SC
Enumeration date
05/06/2009
Last updated
02/10/2010
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