FETTER HEALTH CARE NETWORK INC (NPI# 1144779182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144779182 |
| Entity Type | Organization |
| Organization Name | FETTER HEALTH CARE NETWORK INC |
| Other Organization Name | EB ELLINGTON ELEMENTARY SCHOOL |
| Practice Address |
5540 Old Jacksonboro Rd Ravenel SC 29470-5201 |
| Mailing Address |
51 Nassau St Charleston SC 29403-5513 |
| Practice Telephone | 8437232570 |
| Practice Fax Number | 8437237011 |
| Mailing Telephone | 8437224112 |
| Mailing Fax Number | 8435778960 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | ARETHA JONES (CEO) |
| Authorized Official Telephone | 8437224112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EB Ellington Elementary School | 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 |
5540 OLD JACKSONBORO RD |
| City | RAVENEL |
| State | SC |
| Zip Code | 29470-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285079079 | Donna Marie Henderson-morris | Registered Nurse | 5540 Old Jacksonboro Rd, Ravenel, SC 29470-5201 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518217884 | Kimberly Mcneil | Pharmacist | 6323 Savannah Hwy, Unit D, Ravenel, SC 29470 | 2012-09-14 |
| 1356384069 | Nra Hollywood South Carolina LLC | Clinic/Center | 5953 Jacobs Point Blvd., Ravenel, SC 29470 | 2006-06-13 |
| 1275969172 | Life Quality Health Care | In Home Supportive Care | 4265 Duck Club Rd, Ravenel, SC 29470-3318 | 2013-09-24 |
| 1669745568 | Rosalyn F Adams | Counselor | 6220 Shilelagh Oaks Pkwy, Ravenel, SC 29470-5236 | 2012-02-23 |
| 1427033539 | Curtis Benjamin Inabinett II | Spec/Tech, Cardiovascular | 6061 Old Jacksonboro Rd, Pob 188, Ravenel, SC 29470-5286 | 2005-12-12 |
| 1992753560 | Charles Edward Lucas Jr. | Dentist | 6104 Savannah Hwy, Ravenel, SC 29470-5526 | 2006-05-05 |
| 1407118995 | Sean Britton | Dentist | 6104 Savannah Hwy, Ravenel, SC 29470-5526 | 2012-06-12 |
| 1477708089 | Lorena Doctor | Internal Medicine | 5531 Savannah Hwy, Ravenel, Ravenel, SC 29470-5585 | 2008-11-24 |
| 1538553920 | New Horizons Counseling Services | Case Manager/Care Coordinator | 5531 Savannah Hwy, Ravenel, SC 29470-5585 | 2015-03-24 |
| 1992809792 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6323 Savannah Hwy Ste D, Ravenel, SC 29470-5606 | 2006-09-12 |
| Find all providers in zip 29470 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1083228779 | Sandhills Medical Foundation Inc | Clinic/Center | 103 Main Street South, Bethune, SC 29009 | 2020-09-01 |
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
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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.