Provider Demographics
NPI:1720495732
Name:CAROLINA HEALTH CENTERS, INC.
Entity type:Organization
Organization Name:CAROLINA HEALTH CENTERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EVADNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:VEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-388-0301
Mailing Address - Street 1:313 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-2757
Mailing Address - Country:US
Mailing Address - Phone:864-852-3336
Mailing Address - Fax:864-852-3338
Practice Address - Street 1:6977 SC HIGHWAY 28 S
Practice Address - Street 2:
Practice Address - City:MC CORMICK
Practice Address - State:SC
Practice Address - Zip Code:29835-7649
Practice Address - Country:US
Practice Address - Phone:864-852-3336
Practice Address - Fax:864-852-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)