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NPI Code Detail

MEDICARE: CARE-NET OF LANCASTER

MEDICARE: CARE-NET OF LANCASTER
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
1207Q00000XFamily Medicine Physician
2261QF0400XFederally 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

General Provider Information

NPI Number : 1336403807
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE-NET OF LANCASTER
Provider Business Mailing Address
First Line : 212 E MARION ST
Second Line :
City : KERSHAW
State : SC
Zip : 29067-1442
Country : US
Telephone Number : 803-285-2273
Fax Number : 833-973-5635
Provider Business Practice Location Address
First Line : 212 E MARION ST
Second Line :
City : KERSHAW
State : SC
Zip : 29067-1442
Country : US
Telephone Number : 803-465-3608
Fax Number : 803-514-5740
Authorized Official
Title or Position : CEO
Name : RANDALL STEWART BARRE
Credential : MD
Telephone Number : 803-285-2273
Provider Enumeration Date : 06/29/2012
Last Update Date : 04/06/2026

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Directions to “CARE-NET OF LANCASTER ” Practice Location

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