DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CARESOUTH CAROLINA, INC

MEDICARE: CARESOUTH CAROLINA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629015755
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARESOUTH CAROLINA, INC
Provider Business Mailing Address
First Line : PO BOX 1090
Second Line :
City : HARTSVILLE
State : SC
Zip : 29551-1090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 204 PERRY WILEY WAY
Second Line :
City : CHESTERFIELD
State : SC
Zip : 29709-5701
Country : US
Telephone Number : 843-623-5080
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANN LEWIS
Credential :
Telephone Number : 843-857-0111
Provider Enumeration Date : 05/31/2006
Last Update Date : 04/16/2021

Similar Medicare Providers

1891700506 — CHRISTINA BIESTER
Practice Location Address:
204 PERRY WILEY WAY
CHESTERFIELD, SC
29709-5701
Practice Phone: 843-623-5080
Practice Fax:
1467776583 — PAMELA L JONES-MONROE B.A., M.A.
Practice Location Address:
204 PERRY WILEY WAY
CHESTERFIELD, SC
29709-5701
Practice Phone: 843-623-5080
Practice Fax:
1760821078 — MRS. LORA CHAVIS LPC
Practice Location Address:
204 PERRY WILEY WAY
CHESTERFIELD, SC
29709-5701
Practice Phone: 843-623-5080
Practice Fax: 843-623-5087
1033537188 — CYNTHIA H. GRIFFIN MA
Practice Location Address:
204 PERRY WILEY WAY
CHESTERFIELD, SC
29709-5701
Practice Phone: 843-623-5080
Practice Fax: 843-623-5087
1497137533 — SARAH KNIGHT APRN, ANP-BC
Practice Location Address:
204 PERRY WILEY WAY
CHESTERFIELD, SC
29709-5701
Practice Phone: 843-623-5080
Practice Fax: 843-623-5087
1861841371 — ANNA YAGER LPC
Practice Location Address:
204 PERRY WILEY WAY
CHESTERFIELD, SC
29709-5701
Practice Phone: 843-623-5080
Practice Fax: 843-623-5087

Directions to “CARESOUTH CAROLINA, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.