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CH04111Q FETTER HEALTH CARE NETWORK, INC. (Active)
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Main Details
Name
FETTER HEALTH CARE NETWORK, INC.
Subdivision Name
Fetter Mobile Outreach Vehicle
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030917
340B ID
CH04111Q
Grant Number
H80CS09088
Additional Details
Current Program Status
Active
Registration Date
10/6/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/7/2020
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Fetter Health Care Network
Aretha Jones, CEO
(843) 722-4112 Ext: 3004
Primary Contact
Fetter Health Care Network
Kevin Patel, Director of Clinical Services
(843) 509-0986
Addresses
Street Address
51 Nassau St
Charleston, SC 29403-5513
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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