FETTER HEALTH CARE NETWORK INC (NPI# 1013468792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013468792 |
| Entity Type | Organization |
| Organization Name | FETTER HEALTH CARE NETWORK INC |
| Other Organization Name | FETTER HEALTH CARE NETWORK-RACKITY HALL CAMP MIRGRANT CAMP |
| Practice Address |
5065 Rackity Hall Rd Wadmalaw Island SC 29487 |
| Mailing Address |
51 Nassau St Charleston SC 29403-5513 |
| Practice Telephone | 8437224112 |
| Practice Fax Number | 8435778960 |
| Mailing Telephone | 8437224112 |
| Mailing Fax Number | 8435778960 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | ARETHA JONES (CEO) |
| Authorized Official Telephone | 8437224112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fetter Health Care Network-Rackity Hall Camp Mirgrant Camp | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003367798 | Fetter Health Care Network Inc | Clinic/Center | 2965 River Rd, Johns Island, SC 29455-8859 | 2016-10-18 |
| 1891246583 | Fetter Health Care Network Inc | Clinic/Center | 3129 River Rd, Johns Island, SC 29455-8857 | 2016-10-18 |
| 1295286987 | Fetter Health Care Network Inc | Clinic/Center | 3133 Manse Rd, Edisto Island, SC 29438 | 2016-10-18 |
| 1912458605 | Fetter Health Care Network Inc | Clinic/Center | 4685 River Rd, Johns Island, SC 29455-8841 | 2016-10-18 |
| 1750832341 | Fetter Health Care Network Inc | Clinic/Center | 7555 Sc Hwy 162, Hollywood, SC 29449-6144 | 2016-10-18 |
| 1992256689 | Fetter Health Care Network Inc | Clinic/Center | 9063 Sunrise Rd, Smoaks, SC 29481 | 2016-10-18 |
| 1467903153 | Fetter Health Care Network Inc | Clinic/Center | 2741 Abbapoola Rd, Johns Island, SC 29455-7403 | 2016-10-18 |
| 1649721333 | Fetter Health Care Network Inc | Clinic/Center | 771 Brownswood Rd, Johns Island, SC 29455-3239 | 2016-10-18 |
| 1801347596 | Fetter Health Care Network Inc | Clinic/Center | 78 Cross Swamp Rd, Lodge, SC 29082-9340 | 2016-10-18 |
| 1639620438 | Fetter Health Care Network Inc | Clinic/Center | 221 Mccune Branch Ln, Lodge, SC 29082-9169 | 2016-10-18 |
| Street Address |
5065 RACKITY HALL RD |
| City | WADMALAW ISLAND |
| State | SC |
| Zip Code | 29487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184269961 | Lisa W. Coley | Technician | 1380 Polly Point Rd, Wadmalaw Is, SC 29487 | 2019-11-15 |
| 1760933451 | Fetter Health Care Network Inc | Clinic/Center | 2349 Black Pond Lane, Wadmalaw Island, SC 29487 | 2016-10-18 |
| 1063750024 | Bertha Smalls Middleton | Case Manager/Care Coordinator | 1715 Etheridge Rd, Wadmalaw Island, SC 29487-6953 | 2013-01-26 |
| 1427481241 | Melinda Leigh Mccarter | Registered Nurse | 2208 Leadenwah Dr, Wadmalaw Island, SC 29487-6964 | 2013-08-15 |
| 1093177917 | Megan Vision LLC | Optometrist | 1837 Leadenwah Dr, Wadmalaw Island, SC 29487-6973 | 2016-03-22 |
| 1770880486 | James Stuart Mcdaniel | Family Medicine | 1140 Pilot Boy, Wadmalaw Island, SC 29487-6993 | 2011-02-15 |
| 1730371808 | James Moultrie Townsend | Obstetrics & Gynecology | 2547 Cherry Point Rd, Wadmalaw Island, SC 29487-7007 | 2007-08-13 |
| 1295361764 | Margaret K Peck | Health Educator | 1956 Long Creek Rd, Wadmalaw Island, SC 29487-7043 | 2020-03-17 |
| 1518421064 | Anthony Jerome Washington Sr. | Occupational Therapy Assistant | 6756 Maybank Hwy, Wadmalaw Island, SC 29487-7053 | 2019-01-29 |
| 1952346272 | Stacey L. Devries | Speech-Language Pathologist | 5358 Peerless Place Dr, Wadmalaw Island, SC 29487-7119 | 2006-06-19 |
| Find all providers in zip 29487 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760933451 | Fetter Health Care Network Inc | Clinic/Center | 2349 Black Pond Lane, Wadmalaw Island, SC 29487 | 2016-10-18 |
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|---|---|---|---|---|
| 1124627153 | Hopehealth Inc | Clinic/Center | 2155 Paxville Hwy, Manning, SC 29102-5074 | 2020-10-21 |
| 1083228779 | Sandhills Medical Foundation Inc | Clinic/Center | 103 Main Street South, Bethune, SC 29009 | 2020-09-01 |
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
| City | WADMALAW ISLAND |
| Zip Code | 29487 |
Please comment or provide details below to improve the information on FETTER HEALTH CARE NETWORK INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.