FRANKLIN C FETTER FAMILY HEALTH CENTER, INC


Address: 3973 Rivers Ave, N Charleston, SC 29405-7058
Phone: 8437224112

FRANKLIN C FETTER FAMILY HEALTH CENTER, INC (NPI# 1245348457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245348457
Entity Type Organization
Organization Name FRANKLIN C FETTER FAMILY HEALTH CENTER, INC
Other Organization Name LOW COUNTRY HEALTH CENTER
Practice Address 3973 Rivers Ave
N Charleston
SC 29405-7058
Mailing Address 51 Nassau St
Charleston
SC 29403-5513
Practice Telephone 8437224112
Practice Fax Number 8437224802
Mailing Telephone 8437224112
Mailing Fax Number 8437224802
Enumeration Date 2006-08-28
Last Update Date 2012-07-10
Authorized Official Name MR. RONALD A RAVENELL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8437224112
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
SC FQC054 05

Other Provider/Organization Names

Other Name Type Code
Low Country Health Center Other Name - Individual/Organization

Office Location

Street Address 3973 RIVERS AVE
City N CHARLESTON
State SC
Zip Code 29405-7058

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134720535 Detyens Medical Center Pharmacy 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 2020-11-03
1013422674 Caroline Rae Speech-Language Pathologist 3100 Carner Avenue, Charleston, SC 29405 2017-12-05
1245685171 Ethel Jane Amerson Registered Nurse 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 2016-04-28
1750755468 Diane Levesque Registered Nurse 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 2015-11-18
1063813111 Trident Medical Center, LLC Clinic/Center 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 2014-09-09
1114344504 Bonita Davies Registered Nurse 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 2014-03-24
1427493261 Melissa Hancock D'arcy Registered Nurse 3750 Dorchester Road, N. Charleston, SC 29405 2013-05-07
1427308824 Terri Timmerman Pharmacist 1506 Montague Ave, North Charleston, SC 29405 2012-09-12
1649414285 Roper Saint Francis Physicians Network Clinical Medical Laboratory 4450 Leeds Place West, Suite A, North Charleston, SC 29405 2009-04-27
1891940649 Earnestine Roberts Registered Nurse 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 2008-11-20
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487768842 Fetter Health Care Network Inc Clinic/Center 2047 Comstock Ave, N Charleston, SC 29405-8117 2006-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City N CHARLESTON
Zip Code 29405

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Dataset Information

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.

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