<Unavail>

LBN: Community Medicine Foundation, Inc
<Unavail> is an health care organization with primary practice located at 1140 Saluda Street Women'S Health And Pediatric /Adolescent Center, Rock Hill SC 29730. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Medicine Foundation, Inc can be contacted via phone (803) 325-7744, or through Brown, Ernest via phone (803) 325-7744.

Contact Information

Primary practice address
1140 Saluda Street Women'S Health And Pediatric /Adolescent Center Rock Hill SC 29730
Phone: (803) 325-7744
Fax: (803) 325-1117
Website:
Map and Directions
Authorized official contact:
Name: Brown, Ernest
Phone: (803) 325-7744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1154861045
LBN Legal business name Community Medicine Foundation, Inc
DBA Doing business as <Unavail>
Authorized official Brown, Ernest
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 27th, 2017
Last updated Feb 27th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154861045 NPPES
South Carolina MEDICAID FQC025

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