FETTER HEALTH CARE NETWORK INC (NPI# 1487053021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487053021 |
| Entity Type | Organization |
| Organization Name | FETTER HEALTH CARE NETWORK INC |
| Other Organization Name | FETTER HEALTH CARE NETWORK-JOHNS ISLAND SITE |
| Practice Address |
3627 Maybank Hwy Johns Island SC 29455-4825 |
| Mailing Address |
51 Nassau St Charleston SC 29403-5513 |
| Practice Telephone | 8436280284 |
| Practice Fax Number | 8435599912 |
| Mailing Telephone | 8437224112 |
| Mailing Fax Number | 8435778960 |
| Enumeration Date | 2014-08-20 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC182 | 05 |
| Other Name | Type Code |
|---|---|
| Fetter Health Care Network-Johns Island Site | 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 |
3627 MAYBANK HWY |
| City | JOHNS ISLAND |
| State | SC |
| Zip Code | 29455-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760415400 | Sea Island Comprehensive Health Care Corporation | In Home Supportive Care | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 2006-07-08 |
| 1740527050 | Lhcg Xxxvi, LLC | Home Health | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 2013-01-07 |
| 1881929529 | Fetter Health Care Network Inc | Clinic/Center | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 2009-10-14 |
| 1205077435 | Sea Island Comprehensive Health Care Corporation | Clinic/Center | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 2009-03-18 |
| 1053514695 | Andrea Sarah Mendelsohn | Family Medicine | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 2007-06-11 |
| 1851466726 | Fetter Health Care Network Inc | Clinic/Center | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1932527843 | Gordon Theodore Davis | General Practice | 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 | 2014-03-29 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1265765994 | Raymond David Mulligan | Psychologist | 431 Snowy Egret Lane, Kiawah Island, SC 29455 | 2009-09-14 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| Find all providers in zip 29455 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1912458605 | Fetter Health Care Network Inc | Clinic/Center | 4685 River Rd, Johns Island, SC 29455-8841 | 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 |
| 1104377894 | Fetter Health Care Network Inc | Clinic/Center | 3656 Mary Ann Point Rd, Johns Island, SC 29455-7639 | 2016-10-18 |
| 1659822344 | Fetter Health Care Network Inc | Clinic/Center | 4368 Betsy Kerrison Pkwy, Johns Island, SC 29455-7116 | 2016-10-18 |
| 1518246966 | Franklin C. Fetter Family Health Center, Inc | Clinic/Center | 3429 Camp Care Rd, Johns Island, SC 29455-7131 | 2011-08-16 |
| 1881929529 | Fetter Health Care Network Inc | Clinic/Center | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 2009-10-14 |
| 1851466726 | Fetter Health Care Network Inc | Clinic/Center | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 2006-11-22 |
| Find all providers in JOHNS ISLAND | ||||
| City | JOHNS ISLAND |
| Zip Code | 29455 |
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.