NPI | 1427302470 |
---|---|
Doing Business As | LEROY E. BROWNE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | FAITH POLKEY Chief Executive Officer 843-987-7400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: SC FQC097) |
Additional Taxonomies | 261QC1500X Clinic/Center Community Health (Licence: SC GP2554) |
261QD0000X Clinic/Center Dental (Licence: SC 295441) | |
261QM1300X Clinic/Center Multi-Specialty (Licence: SC CBP005) | |
261QM2500X Clinic/Center Medical Specialty (Licence: SC FQC097) | |
Enumeration Date | 2012-10-30 |
Last Update Date | 2022-09-13 |