FETTER HEALTH CARE NETWORK INC NPI 1679190771

NPI Information

NPI: 1679190771
Provider Name: FETTER HEALTH CARE NETWORK, INC

Doing Business As: FETTER MOBILE OUTREACH VEHICLE

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
51 NASSAU ST
CHARLESTON, SC
ZIP 29403
Phone: (843) 722-4112
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FETTER HEALTH CARE NETWORK, INC is a community health clinic center in Charleston, SC. FETTER HEALTH CARE NETWORK, INC NPI is 1679190771. The provider is registered as an organization entity type.
The provider Is Doing Business As Fetter Mobile Outreach Vehicle.

The provider's business location address is:

51 NASSAU ST
CHARLESTON, SC
ZIP 29403-513
Phone: (843) 722-4112
Fax: (843) 577-9550

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 7/6/2020 and was last updated on 10/19/2021.

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)			No
2	261QC1500X	Clinic/Center	Community Health			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: 4/28/2024

NPI Synchronization or Removal

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