Organization · Type 2 NPI

Low Country Health Care System, Inc.

Federally Qualified Health Center (FQHC) · Blackville, SC

NPI number 1235225608 Active

Practice location

130 Baker Street
Blackville, SC 29817

Call (803) 284-1045 Map

Fax (803) 284-3094

Mailing address

86 Wren St
Barnwell, SC 29812-1529

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1235225608
Entity type: Organization (Type 2)
Issued: Oct 5, 2006
Last updated: Jan 11, 2024
Status: Active

Other names

<unavail>
Family Medical Center of Blackville · doing business as
Family Medical Center of Blackville · doing business as

Authorized official

Ashley L Barnes
Chief Executive Officer
(803) 632-2533

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235225608

Low Country Health Care System, Inc.'s National Provider Identifier is 1235225608, issued on Oct 5, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Blackville, SC. The record was last updated on Jan 11, 2024.