OrganizationFetter Health Care Network Inc(Fetter Health Care Network-Hollywood Site)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address5225 Highway 165, Hollywood, SC 29449-6144(843) 889-2272(843) 722-4112PECOS EnrollmentBased on the most recent information from CMS, provider Fetter Health Care Network Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1417282153Provider TypeOrganizationFull NameFetter Health Care Network IncOther NameFetter Health Care Network-Hollywood SiteSubpartNoEnumeration Date10/14/2009Last Updated10/28/2022Contact InformationPractice LocationPractice Address5225 Highway 165, Hollywood, SC 29449-6144Phone(843) 889-2272Fax(843) 889-2274Mailing LocationMailing Address51 Nassau St, Charleston, SC 29403-5513Phone(843) 722-4112Fax(843) 577-8960Authorized OfficialNameJones, Aretha R (Executive Director)Phone(843) 722-4112Provider TaxonomiesCodeDescriptionLicenseCode261QF0400XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDFQC075DescriptionMedicaidIssuerUnlistedSouth Carolina