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CH04111B FETTER HEALTH CARE NETWORK INC (Active)
Main Details
Name
FETTER HEALTH CARE NETWORK INC
Subdivision Name
FCFFHC-WALTERBORO SITE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008450
340B ID
CH04111B
Grant Number
H80CS09088
Contacts
Authorizing Official
Fetter Health Care Network
Aretha Jones, CEO
(843) 722-4112 Ext: 3004
Primary Contact
Fetter Health Care Network, Inc
Sharvette Slaughter, MD
(843) 722-4112 Ext: 4115
Additional Details
Current Program Status
Active
Registration Date
8/5/2008
Participating Start Date
10/1/1995
Participating Approval Date
8/5/2008
Last Recertification Date
2/2/2024
Addresses
Street Address
302 MEDICAL PARK DRIVE
WALTERBORO, SC 29488-5747
Billing Address
Franklin C Fetter Family Health Center
51 Nassau Street
Charleston, SC 29403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/26/04 ADMIN CORRECTION - WAS 340B ID# CH0418700
08/11/2008
May 2024
May 2024
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