Caresouth Carolina, Inc

LBN: Caresouth Carolina, Inc
Caresouth Carolina, Inc is an health care organization with primary practice located at 999 Cheraw St , Bennettsville SC 29512-2420. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Caresouth Carolina, Inc can be contacted via phone (843) 479-2341, or through Lewis, Ann via phone (843) 857-0111.

Contact Information

Primary practice address
999 Cheraw St Bennettsville SC 29512-2420
Phone: (843) 479-2341
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Ann
Phone: (843) 857-0111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1457398521
LBN Legal business name Caresouth Carolina, Inc
DBA Doing business as
Authorized official Lewis, Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Sep 4th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457398521 NPPES
South Carolina MEDICAID FQC013
South Carolina MEDICAID CBP012

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