FETTER HEALTH CARE NETWORK INC (NPI# 1992256689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992256689 |
| Entity Type | Organization |
| Organization Name | FETTER HEALTH CARE NETWORK INC |
| Other Organization Name | FETTER HEALTH CARE NETWORK-SMOAKS MIDDLE SCHOOL MIGRANT CAMP LOCATION |
| Practice Address |
9063 Sunrise Rd Smoaks SC 29481 |
| 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 | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| 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 |
|---|---|
| Fetter Health Care Network-Smoaks Middle School Migrant Camp Location | 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 |
| 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 |
| 1760933451 | Fetter Health Care Network Inc | Clinic/Center | 2349 Black Pond Lane, Wadmalaw Island, SC 29487 | 2016-10-18 |
| Street Address |
9063 SUNRISE RD |
| City | SMOAKS |
| State | SC |
| Zip Code | 29481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174085948 | Simmons Adult Day Care, LLC | Clinic/Center | 2175 Johnsville Road, Smoaks, SC 29481-2948 | 2019-04-02 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 |
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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.