Prisma Health-Upstate
Doing business as PH Primary Care Fountain Inn
Rural health clinic in Fountain Inn, SC, Medicare certification number 423494.
Medicare certification
Provider of Services- CCN
- 423494
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Feb 1, 2022
- Last certification
- Feb 1, 2022
- Address
- 200 N, Nelson Dr
Fountain Inn, SC 29644
(864) 885-7935
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Prisma Health Primary Care Fountain Inn
- Rural Health Clinic/Center
- Fountain Inn, SC
- NPI 1205414828
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.