NPIMap

Fetter Health Care Network, Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Wadmalaw Island, SC

NPI 1013468792 · NPPES record last updated Nov 11, 2025

Key facts

NPI
1013468792
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
FETTER HEALTH CARE NETWORK, INC.
Practice address
5065 Rackity Hall Rd
Wadmalaw Island, SC 29487
Phone
(843) 722-4112
Fax
(843) 577-8960
NPI assigned
Oct 18, 2016
Organization subpart
No

Authorized official

Name
Aretha R Jones
Title
Ceo
Phone
(843) 722-4112

Corporate family (same tax ID) 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

National Provider Directory

Tax ID family
Fetter Health Care Network Inc (38 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

5065 Rackity Hall Rd
Wadmalaw Island, SC 29487

Mailing address

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

Other names

  • Fetter Health Care Network-Rackity Hall Camp Mirgrant Camp Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 11, 2025.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1013468792",
    "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": "5065 RACKITY HALL RD",
            "city": "WADMALAW ISLAND",
            "state": "SC",
            "postal_code": "29487",
            "telephone_number": "843-722-4112",
            "fax_number": "843-577-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTER HEALTH CARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "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": "CEO",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fetter Health Care Network-Rackity Hall Camp Mirgrant Camp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fetter Health Care Network-Rackity Hall Camp Mirgrant Camp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wadmalaw Island, SC

All providers in Wadmalaw Island, SC · Federally Qualified Health Center (FQHC) in South Carolina

Sources for this page

Verify at the official NPI Registry.