FETTER HEALTH CARE NETWORK INC. NPI 1194211243

NPI Information

NPI: 1194211243
Provider Name: FETTER HEALTH CARE NETWORK, INC.

Other Name: FETTER MOBILE DENTAL VEHICLE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
51 NASSAU ST
CHARLESTON, SC
ZIP 29403
Phone: (843) 722-4112
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FETTER HEALTH CARE NETWORK, INC. is a dental clinic center in Charleston, SC. FETTER HEALTH CARE NETWORK, INC. NPI is 1194211243. The provider is registered as an organization entity type.
The provider Other Name Is Fetter Mobile Dental Vehicle.

The provider's business location address is:

51 NASSAU ST
CHARLESTON, SC
ZIP 29403
Phone: (843) 722-4112

The provider's authorized official is Aretha R Jones .
The authorized official title is Ceo and has the following contact phone number (843) 722-4112.

The enumeration date for this NPI number is 7/2/2018 and was last updated on 10/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZA8983	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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