FETTER HEALTH CARE NETWORK INC NPI 1699554105

NPI Information

  • NPI: 1699554105
  • Provider Name: FETTER HEALTH CARE NETWORK INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: MUGHELLI - OYIBOKJA WELLNESS CENTER FOR WOMEN
  • CLIA Number: 42D2293786
  • Address: 1843 ASHLEY RIVER RD
    CHARLESTON, SC
    ZIP 29407
  • Phone: (843) 769-4424

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NPI Details

FETTER HEALTH CARE NETWORK INC is a federally qualified health center (fqhc) clinic center in Charleston, SC. FETTER HEALTH CARE NETWORK INC NPI is 1699554105. The provider is registered as an organization entity type.
The provider Is Doing Business As Mughelli - Oyibokja Wellness Center For Women.

The provider's business location address is:

1843 ASHLEY RIVER RD
CHARLESTON, SC
ZIP 29407-740
Phone: (843) 769-4424
Fax: (866) 285-7156

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 CLIA number assigned to this NPI record is 42D2293786 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 5/8/2024.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

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This page was last updated on: 3/30/2025

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