| NPI | 1568704583 |
|---|---|
| Doing Business As | HOPEHEALTH KINGSTREE |
| Doing Business As | HOPEHEALTH DENTAL KINGSTREE |
| Entity Type | Organization |
| Authorized Contact | MARK VINSON CFO 843-656-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2024-10-02 |