Waccamaw Center For Mental Health | |
164 Waccamaw Medical Park Dr Conway SC 29526-8903 | |
(843) 347-5060 | |
(843) 347-3959 |
Full Name | Waccamaw Center For Mental Health |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 164 Waccamaw Medical Park Dr, Conway, South Carolina |
Authorized Official Name and Position | Tracy L Turner (CONTROLLER) |
Authorized Official Contact | 8038988503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Waccamaw Center For Mental Health 164 Waccamaw Medical Park Dr Conway SC 29526-8903 Ph: (843) 347-5060 | Waccamaw Center For Mental Health 164 Waccamaw Medical Park Dr Conway SC 29526-8903 Ph: (843) 347-5060 |
NPI Number | 1356397228 |
---|---|
Provider Enumeration Date | 05/25/2006 |
Last Update Date | 09/20/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356397228 | NPI | - | NPPES |
327877 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Little River Medical Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-4888 Fax: 843-663-1017 | |
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