MEDICARE: FETTER HEALTH CARE NETWORK, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336C0002X	Clinic Pharmacy
2	261QF0400X	Federally Qualified Health Center (FQHC)
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

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

General Provider Information

NPI Number	:	1366198756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FETTER HEALTH CARE NETWORK, INC.

Provider Business Mailing Address
First Line	:	51 NASSAU ST
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29403-5513
Country	:	US
Telephone Number	:	843-722-4112
Fax Number	:	843-577-9550

Provider Business Practice Location Address
First Line	:	679 ORANGEBURG RD UNIT F
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-9038
Country	:	US
Telephone Number	:	843-722-4112
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARETHA R POLITE-POWERS
Credential	:
Telephone Number	:	843-722-4112

Provider Enumeration Date	:	02/24/2022
Last Update Date	:	10/06/2025

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Directions to “FETTER HEALTH CARE NETWORK, INC. ” Practice Location

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