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CHICHORA LIFE CENTER
NPI 1336528504
Clinic/Center - Federally Qualified Health Center (FQHC) in North Charleston, SC

Active since May 21, 2015
3600 RIVERS AVE, NORTH CHARLESTON, SC 29405(843) 772-4112 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chichora Life Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICHORA LIFE CENTER (NPI 1336528504) is a healthcare organization registered as a federally qualified health center (fqhc) in North Charleston, South Carolina and active in the NPI registry since May 2015. The organization lists Reuben Pettiford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336528504
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFETTER HEALTH CARE NETWORK INC.
Location Address3600 RIVERS AVENorth Charleston, SC 29405-7747
Mailing Address51 Nassau StCharleston, SC 29403-5513 · (843) 722-4112 · Fax (843) 577-8960
Phone(843) 772-4112
Organization SubpartNo
Authorized OfficialReuben PettifordCeo · (843) 722-4112
Enumeration DateMay 21, 2015
✔ NPI 1336528504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3600 RIVERS AVE, North Charleston, SC 29405
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Other Names 1

Doing Business AsChichora Life Center

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY RAY HUBER D.M.D.
Dentist (General Practice)
3600 RIVERS AVE, CODE 09MD.2
NORTH CHARLESTON, SC 29405
Charleston County (843) 743-7868
EVAN K JOHNSTON CRNA
Nurse Anesthetist, Certified Registered
3600 RIVERS AVE
CHARLESTON, SC 29405
Charleston County (843) 743-7373
MRS. KAREN LYNN JORDAN PHYSICIAN ASSISTANT
Physician Assistant
3600 RIVERS AVE
N CHARLESTON, SC 29405
Charleston County (843) 743-7081
AMY J OLSON PHARM.D.
Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Charleston County (843) 743-7295
MR. BRUCE GROVE SPARKS PHARMACIST
Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Charleston County (843) 743-7295
DR. BRANDON HARDIN PHARMD
Pharmacist
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Charleston County (843) 743-7252
DR. KRIS MATTHEW BELLAND D.O.
Family Medicine
3600 RIVERS AVE, NAVAL HOSPITAL CHARLESTON
NORTH CHARLESTON, SC 29405
Charleston County (843) 743-7961
DR. CYNTHIA S SIKORSKI MD
Internal Medicine
3600 RIVERS AVE
NORTH CHARLESTON, SC 29405
Charleston County (843) 743-7000

Frequently Asked Questions

What is FETTER HEALTH CARE NETWORK INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1336528504, enumerated as an "organization" on May 21, 2015.

Where is the provider located?

The provider is located at 3600 RIVERS AVE NORTH CHARLESTON, SC 29405 and the phone number is (843) 772-4112.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).