Franklin C Fetter Family Health Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FRANKLIN C FETTER FAMILY HEALTH CENTER, INC

Practice address

3973 Rivers Ave
N Charleston, SC 29405-7058

Phone

(843) 722-4112

Fax

(843) 722-4802

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Aretha R Jones

Title

Executive Director

Phone

(843) 722-4112

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Low Country Health Center Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Junius Dove, PAC

  • Physician Assistant
  • Charleston, SC
  • NPI 1861503708
  NPD (past)
• Sharvette Slaughter, MD

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1033210505
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1245348457",
    "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": "843-722-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 RIVERS AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294057058",
            "telephone_number": "843-722-4112",
            "fax_number": "843-722-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN C FETTER FAMILY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ARETHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC054",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Low Country Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Low Country Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Fisher
• Jean I Fleming
• Sarah Burden Folk, FNP-BC
• Shirley Ann Ford, MSW
• Kerry Frank, RN BSN
• Edward Ira Galaid, M.D.
• Gale J Singletary Dba Speech Language Pathology Services
• Cynthia L Garner, D.D.S.
• Garrett Academy HS
• Jacob Gaskins

• Federally Qualified Health Center (FQHC) in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Federally Qualified Health Center (FQHC) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.