Caresouth Carolina Inc
LBN: Caresouth Carolina Inc
Caresouth Carolina Inc is an health care organization with primary practice located at 210 W Main St , Bennettsville SC 29512-3122. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Caresouth Carolina Inc can be contacted via phone (843) 479-1200, or through Lewis, Ann M via phone (843) 857-0111.
Contact Information
Primary practice address
210 W Main St
Bennettsville SC 29512-3122
Phone: (843) 479-1200
Fax: (843) 479-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1639458672 |
|---|---|
| LBN Legal business name | Caresouth Carolina Inc |
| DBA Doing business as | |
| Authorized official | Lewis, Ann M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2011 |
| Last updated | Mar 21st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639458672 | NPPES |
| South Carolina | MEDICAID | FQC093 |
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