NPIMap

Organization Active NPI

Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hollywood, SC
National Provider Identifier
1417282153
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.
Practice address
5225 Highway 165
Hollywood, SC 29449-6144
Phone
(843) 889-2272
Fax
(843) 889-2274
NPI assigned
Oct 14, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Aretha R Jones
Title
Chief Executive Officer
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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

5225 Highway 165
Hollywood, SC 29449-6144

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
FQC075MedicaidSC

Other names 1

NPPES NPI Registry
  • Fetter Health Care Network-Hollywood Site Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1417282153",
    "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": "5225 HIGHWAY 165",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294496144",
            "telephone_number": "843-889-2272",
            "fax_number": "843-889-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTER HEALTH CARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC075",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fetter Health Care Network-Hollywood Site",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fetter Health Care Network-Hollywood Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.