NPIMap

Organization Active NPI

Fetter Health Care Network, Inc.

Doing business as Fetter Health Care Network-Downtown Site

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
National Provider Identifier
1003827304
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FETTER HEALTH CARE NETWORK, INC.
Doing business as
Fetter Health Care Network-Downtown Site
Practice address
51 Nassau St
Charleston, SC 29403
Phone
(843) 722-4112
Fax
(843) 577-8960
NPI assigned
Aug 11, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aretha R Jones
Title
Chief Executive Officer
Phone
(843) 722-4112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
General Practice Dentistry 1223G0001X

Addresses

Primary practice location

51 Nassau St
Charleston, SC 29403

Mailing address

51 Nassau St
Charleston, SC 29403-5513
Phone (843) 722-4112

Other identifiers 1

IdentifierTypeStateIssuer
FQC004MedicaidSC

Other names 1

  • Fetter Health Care Network-Downtown Site Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070507000192 SC Part B Supplier - Clinic/Group Practice 9032215199 Receives reassigned benefits from 91 practitioners
14 other NPIs on this enrollment
Practice locations: Walterboro, SC; Cross, SC; Summerville, SC; North Charleston, SC; N Charleston, SC; Charleston, SC; Johns Island, SC; Hollywood, SC
O20150520001715 SC Part A Provider - Federally Qualified Health Center (FQHC) 9032215199 1 other NPI on this enrollment
Practice locations: Charleston, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003827304. Details of each certification follow.

Federally qualified health center certification: CCN 421801

Legal name
FETTER HEALTH CARE NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1975 in SC
Enrollment address
51 Nassau St
Charleston, SC 29403-5513

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Darlene E Wright Individual Corporate OfficerBoard Member Jan 1, 2014
Enid B Jenkins Individual Corporate OfficerBoard Member Jan 1, 2014
Aretha Powers Individual Corporate DirectorCeo Apr 11, 2016
W-2 Managing EmployeeCeo Apr 11, 2016
Sonya B Jones Individual Corporate OfficerBoard Member Jan 1, 2014
Deborah C Williamson Individual Corporate OfficerBoard Member Jan 1, 2014
Phalarma Freeman Individual Corporate OfficerBoard Member Jan 1, 2014

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fetter Health Care Network IncCharleston, SC, CCN 421044 Federally qualified health center Operational/Managerial Control (100%) Sep 18, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 97

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1003827304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513",
            "telephone_number": "843-722-4112",
            "fax_number": "843-577-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29403",
            "telephone_number": "843-722-4112",
            "fax_number": "843-577-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTER HEALTH CARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ARETHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "843-722-4112"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC004",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fetter Health Care Network-Downtown Site",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fetter Health Care Network-Downtown Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.