Caresouth Carolina, Inc in Chesterfield - Federally Qualified Health Center (fqhc)
Caresouth Carolina, Inc - NPI 1629015755
Caresouth Carolina, Inc is a Federally Qualified Health Center (fqhc) in Chesterfield, South Carolina. Caresouth Carolina, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Caresouth Carolina, Inc is 1629015755. The last update date is 2021-04-16.
Caresouth Carolina, Inc's current location address is 204 Perry Wiley Way, Chesterfield, South Carolina. You can contact this provider via phone number 8436235080. The mailing address for Caresouth Carolina, Inc is 204 Perry Wiley Way, Chesterfield, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Caresouth Carolina, Inc |
|---|---|
| Address | 204 Perry Wiley Way, Chesterfield, South Carolina |
| Phone Number | 8436235080 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Lewis Ann |
| Telephone Number | 8438570111 |
NPI Number Detail
| NPI Number | 1629015755 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2021-04-16 |
Provider Mailing Address Detail
| Address | 204 Perry Wiley Way |
|---|---|
| City | Chesterfield |
| State | South Carolina (SC) |
| Post Code | 297095701 |
| Phone Number | 8436235080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FQC064 | SC | -- | |
| CBP012 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Caresouth Carolina, Inc by the Centers for Medicare & Medicaid Services?
The Caresouth Carolina, Inc has been issued the NPI (National Provider Identifier) 1629015755, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Caresouth Carolina, Inc is physically located?
The Caresouth Carolina, Inc is situated at the following address: 204 Perry Wiley Way, Chesterfield, SC 297095701.
What is the Caresouth Carolina, Inc's specialty and taxonomy code?
The Caresouth Carolina, Inc's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629015755 to Caresouth Carolina, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1629015755 to Caresouth Carolina, Inc on 2006-05-31.
As of what date was the information regarding Caresouth Carolina, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Caresouth Carolina, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-16.