NPIMap

Organization Active NPI

Franklin C. Fetter Family Health Center, Inc.

Doing business as Rural Mission Migrant Site-Walterboro

  • Federally Qualified Health Center (FQHC)
  • Lodge, SC
National Provider Identifier
1760770994
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FRANKLIN C. FETTER FAMILY HEALTH CENTER, INC.
Doing business as
Rural Mission Migrant Site-Walterboro
Practice address
14405 Bells Hwy
Lodge, SC 29082-9331
Phone
(843) 768-9518
NPI assigned
Jul 21, 2011
Last updated
Jul 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Mr. Ronald A Ravenell
Title
Ceo
Phone
(843) 722-4112

Specialties & licenses 1

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

Addresses

Primary practice location

14405 Bells Hwy
Lodge, SC 29082-9331

Mailing address

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

Other names 1

  • Rural Mission Migrant Site-Walterboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fetter Health Care Network38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

14405 Bells Hwy
Lodge, SC 29082
Phone (843) 768-9518

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1760770994",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 BELLS HWY",
            "city": "LODGE",
            "state": "SC",
            "postal_code": "290829331",
            "telephone_number": "843-768-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN C. FETTER FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "RAVENELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-722-4112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Mission Migrant Site-Walterboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodge, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.