NPIMap

Organization Active NPI

Fetter Health Care Network Inc

Doing business as Fetter Health Care Network-Smoaks Middle School Migrant Camp Location

  • Federally Qualified Health Center (FQHC)
  • Smoaks, SC
National Provider Identifier
1992256689
Registry record updated Oct 18, 2016
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-Smoaks Middle School Migrant Camp Location
Practice address
9063 Sunrise Rd
Smoaks, SC 29481
Phone
(843) 722-4112
Fax
(843) 577-8960
NPI assigned
Oct 18, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

9063 Sunrise Rd
Smoaks, SC 29481

Mailing address

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

Other names 1

  • Fetter Health Care Network-Smoaks Middle School Migrant Camp Location 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

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1992256689",
    "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": "9063 SUNRISE RD",
            "city": "SMOAKS",
            "state": "SC",
            "postal_code": "29481",
            "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": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ARETHA",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fetter Health Care Network-Smoaks Middle School Migrant Camp Location",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smoaks, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.