Provider Demographics
NPI:1538311923
Name:THE FREE MEDICAL CLINIC OF NEWBERRY COUNTY, INC.
Entity Type:Organization
Organization Name:THE FREE MEDICAL CLINIC OF NEWBERRY COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:EPTING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-276-6665
Mailing Address - Street 1:2568 KINARD ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-2910
Mailing Address - Country:US
Mailing Address - Phone:803-276-6665
Mailing Address - Fax:803-276-6667
Practice Address - Street 1:2568 KINARD ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2910
Practice Address - Country:US
Practice Address - Phone:803-276-6665
Practice Address - Fax:803-276-6667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable