FETTER HEALTH CARE NETWORK INC. NPI 1336528504

NPI Information

NPI: 1336528504
Provider Name: FETTER HEALTH CARE NETWORK INC.

Doing Business As: CHICHORA LIFE CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3600 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29405
Phone: (843) 772-4112
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FETTER HEALTH CARE NETWORK INC. is a federally qualified health center (fqhc) clinic center in North Charleston, SC. FETTER HEALTH CARE NETWORK INC. NPI is 1336528504. The provider is registered as an organization entity type.
The provider Is Doing Business As Chichora Life Center.

The provider's business location address is:

3600 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29405-747
Phone: (843) 772-4112

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

The enumeration date for this NPI number is 5/21/2015 and was last updated on 5/21/2015.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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