FETTER HEALTH CARE NETWORK INC (NPI# 1003827304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003827304 |
| Entity Type | Organization |
| Organization Name | FETTER HEALTH CARE NETWORK INC |
| Other Organization Name | FETTER HEALTH CARE NETWORK-DOWNTOWN SITE |
| Practice Address |
51 Nassau St Charleston SC 29403 |
| Mailing Address |
51 Nassau St Charleston SC 29403-5513 |
| Practice Telephone | 8437224112 |
| Practice Fax Number | 8435778960 |
| Mailing Telephone | 8437224112 |
| Mailing Fax Number | 8435778960 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | MRS. ARETHA JONES (CEO) |
| Authorized Official Telephone | 8437224112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC004 | 05 | |
| SC | ZA8983 | 05 |
| Other Name | Type Code |
|---|---|
| Fetter Health Care Network-Downtown Site | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003367798 | Fetter Health Care Network Inc | Clinic/Center | 2965 River Rd, Johns Island, SC 29455-8859 | 2016-10-18 |
| 1891246583 | Fetter Health Care Network Inc | Clinic/Center | 3129 River Rd, Johns Island, SC 29455-8857 | 2016-10-18 |
| 1295286987 | Fetter Health Care Network Inc | Clinic/Center | 3133 Manse Rd, Edisto Island, SC 29438 | 2016-10-18 |
| 1912458605 | Fetter Health Care Network Inc | Clinic/Center | 4685 River Rd, Johns Island, SC 29455-8841 | 2016-10-18 |
| 1750832341 | Fetter Health Care Network Inc | Clinic/Center | 7555 Sc Hwy 162, Hollywood, SC 29449-6144 | 2016-10-18 |
| 1992256689 | Fetter Health Care Network Inc | Clinic/Center | 9063 Sunrise Rd, Smoaks, SC 29481 | 2016-10-18 |
| 1467903153 | Fetter Health Care Network Inc | Clinic/Center | 2741 Abbapoola Rd, Johns Island, SC 29455-7403 | 2016-10-18 |
| 1649721333 | Fetter Health Care Network Inc | Clinic/Center | 771 Brownswood Rd, Johns Island, SC 29455-3239 | 2016-10-18 |
| 1801347596 | Fetter Health Care Network Inc | Clinic/Center | 78 Cross Swamp Rd, Lodge, SC 29082-9340 | 2016-10-18 |
| 1639620438 | Fetter Health Care Network Inc | Clinic/Center | 221 Mccune Branch Ln, Lodge, SC 29082-9169 | 2016-10-18 |
| Street Address |
51 NASSAU ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487604757 | Charles Effiong | Internal Medicine | 51 Nassau St, Charleston, SC 29403-5513 | 2006-05-10 |
| 1679190771 | Fetter Health Care Network, Inc | Clinic/Center | 51 Nassau St, Charleston, SC 29403-5513 | 2020-07-06 |
| 1902435316 | Danielle Rivers Coles | Pharmacist | 51 Nassau St, Charleston, SC 29403-5513 | 2020-04-07 |
| 1700410461 | Angela Maria Torres Ramirez | Dietitian, Registered | 51 Nassau St, Charleston, SC 29403-5513 | 2020-03-02 |
| 1073157749 | Abdul Karim Kargbo | Counselor | 51 Nassau St, Charleston, SC 29403-5513 | 2019-11-05 |
| 1518514587 | Irina Alexander | Dental Hygienist | 51 Nassau St, Charleston, SC 29403-5513 | 2019-08-23 |
| 1902460801 | Victoria Danowski | Dietitian, Registered | 51 Nassau St, Charleston, SC 29403-5513 | 2019-04-25 |
| 1518433366 | Lundy Davis | Physician Assistant | 51 Nassau St, Charleston, SC 29403-5513 | 2018-10-19 |
| 1194211243 | Fetter Health Care Network, Inc. | Clinic/Center | 51 Nassau St, Charleston, SC 29403 | 2018-07-02 |
| 1528566932 | Mckenzie Clark | Nurse Practitioner | 51 Nassau St, Charleston, SC 29403-5513 | 2018-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210674 | Samantha Barretta | Behavior Technician | 530 Meeting St, Apt 409, Charleston, SC 29403 | 2020-03-23 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
| 1427467307 | Valerie Nicole Garilas | Pharmacist | 1400 Woodruff Road, Greenville, SC 29403 | 2014-08-05 |
| 1467883645 | Disabilities Board of Charleston County | Case Management | 995 Morrison Drive, Suite 100, Charleston, SC 29403 | 2013-12-12 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1205171964 | Brian Sherman | Psychologist | 26a Bee St., Charleston, SC 29403 | 2012-12-06 |
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1598990442 | Colleen Lehn Degeorge | Social Worker | 198 Rutledge Avenue, Suite 8, Charleston, SC 29403 | 2009-05-21 |
| 1164618815 | Diane Andrews | Speech-Language Pathologist | Musc Speech Language Pathology, 169 Ashley Ave Msc 335, Charleston, SC 29403 | 2007-09-17 |
| Find all providers in zip 29403 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303770 | Holy City Dentistry LLC | Clinic/Center | 862 Folly Rd Ste 110, Charleston, SC 29412-3452 | 2019-08-29 |
| 1902345630 | Smile On Charleston, LLC | Clinic/Center | 91 Rutledge Ave, Charleston, SC 29401-1722 | 2017-02-14 |
| 1710389879 | Smileology Eco Dental Spa PC | Clinic/Center | 2106 Mount Pleasant St, # P-137, Charleston, SC 29403-3026 | 2014-09-19 |
| 1871848218 | Endodontic Associates of Charleston | Clinic/Center | 349 Folly Rd Ste 1c, Charleston, SC 29412-2508 | 2012-07-23 |
| 1295915866 | Charles E Wright Dds | Clinic/Center | 1005b Bridge Rd, Charleston, WV 25314-1305 | 2007-11-12 |
| 1023180528 | Ellis Oaks Dental Center LLC | Clinic/Center | 776 Daniel Ellis Drive, Suite 3a, Charleston, SC 29412 | 2006-11-14 |
| 1740892827 | James Myers IIi LLC | Clinic/Center | 112 1/2 Ashley Ave, Charleston, SC 29401-1249 | 2020-08-19 |
| 1508478777 | Cfd Ji LLC | Clinic/Center | 693 Whispering Marsh Dr, Charleston, SC 29412-4423 | 2020-08-19 |
| 1932711314 | Charleston Family Dentistry of West Ashley | Clinic/Center | 2170 Savannah Hwy, Charleston, SC 29414-5311 | 2020-08-18 |
| 1104468172 | Charleston Dental & Dentures LLC | Clinic/Center | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2019-10-11 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.