Healthcare Provider Details

I. General information

NPI: 1679437271
Provider Name (Legal Business Name): CARE-NET OF LANCASTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 WILDEWOOD PARK DR STE B
COLUMBIA SC
29223-4313
US

IV. Provider business mailing address

800 N WHITE ST
LANCASTER SC
29720-2177
US

V. Phone/Fax

Practice location:
  • Phone: 803-285-2273
  • Fax:
Mailing address:
  • Phone: 803-285-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: SELENA ROBERTSON
Title or Position: DIRECTOR OF REVENUE AND FINANCE
Credential:
Phone: 803-753-7937