Fetter Health Care Network, Inc in Moncks Corner - Federally Qualified Health Center (fqhc)
Fetter Health Care Network, Inc - NPI 1932213378
Fetter Health Care Network, Inc is a Federally Qualified Health Center (fqhc) in Moncks Corner, South Carolina. Fetter Health Care Network, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Fetter Health Care Network, Inc is 1932213378. The last update date is 2015-04-15.
Fetter Health Care Network, Inc's current location address is 110 Executive Pkwy, Moncks Corner, South Carolina. You can contact this provider via phone number 8437617744. The mailing address for Fetter Health Care Network, Inc is 110 Executive Pkwy, Moncks Corner, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fetter Health Care Network, Inc |
|---|---|
| Address | 110 Executive Pkwy, Moncks Corner, South Carolina |
| Phone Number | 8437617744 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pettiford J Reuben |
| Telephone Number | 8437224112 |
NPI Number Detail
| NPI Number | 1932213378 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2015-04-15 |
Provider Mailing Address Detail
| Address | 110 Executive Pkwy |
|---|---|
| City | Moncks Corner |
| State | South Carolina (SC) |
| Post Code | 294613930 |
| Phone Number | 8437617744 |
| 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FQC049 | SC | -- |
Post Comment/ Review Below
What is the Fetter Health Care Network, Inc's 1932213378?
The Fetter Health Care Network, Inc's NPI (National Provider Identifier) Number is 1932213378. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Fetter Health Care Network, Inc?
The Fetter Health Care Network, Inc is situated at 110 Executive Pkwy, in the city of Moncks Corner, state of SC, with the zip code 294613930.
What is Fetter Health Care Network, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fetter Health Care Network, Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932213378 to Fetter Health Care Network, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1932213378 to Fetter Health Care Network, Inc on 2006-08-19.
As of what date were the Fetter Health Care Network, Inc's details last updated?
The information pertaining to the Fetter Health Care Network, Inc, including its address, specialty, and other details, was most recently updated on 2015-04-15.