| NPI | 1164198016 |
|---|---|
| Other Name | HOPEHEALTH PINE NEEDLES |
| Entity Type | Organization |
| Authorized Contact | MARK VINSON Chief Financial Officer 843-656-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-11-05 |