| Organization Name: | CAROLINA HEALTH CENTERS, INC. |
| NPI Number: | 1811020266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA Y GILMER (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 219 Greenwood Hwy Saluda |
| State: | SC US |
| Postal Code: | 291381143 |
| Phone Number: | 8644452181 |
| Fax Number: | 8644459554 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 06/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |