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Caresouth Carolina, Inc.
Federally Qualified Health Center (FQHC) in Lake View, South Carolina
NPI 1780627943

Caresouth Carolina, Inc. is a Federally Qualified Health Center (FQHC) based in Hartsville, SC and is specialized in Federally Qualified Health Center (FQHC). Caresouth Carolina, Inc. practices in Lake View, SC. The NPI Number for Caresouth Carolina, Inc. is 1780627943 and holds a License No. (South Carolina).

The current practice location address for Caresouth Carolina, Inc. is 103 Kemper Street, Lake View, SC and can be reached out via phone at 843-759-2189.

Location: 103 Kemper Street, Lake View, SC, 29551-1090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780627943
Provider Name
Caresouth Carolina, Inc.
Credential
Provider Entity Type
Organization
Address
103 Kemper Street, Lake View, SC, 29551-1090
Phone Number
843-759-2189
Fax Number
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CBP013 05 SC
FQC003 05 SC
institution
Provider Business Practice Location Address Details
Address
103 Kemper Street
City
Lake View
State
South Carolina
Zip
29563
Phone Number
843-759-2189
Fax Number
person
Provider Business Mailing Address Details
Address
103 Kemper Street
City
Lake View
State
South Carolina
Zip
29563
Phone Number
843-759-2189
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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