Regenesis Community Health Center

LBN: Regenesis Organization Community Health Center
Regenesis Community Health Center is an health care organization with primary practice located at 301 Cresent Ave , Spartanburg SC 29306-0000. 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. Regenesis Organization Community Health Center can be contacted via phone (654) 582-2411, or through Hunter, Marlon via phone (864) 582-2817.

Contact Information

Primary practice address
301 Cresent Ave Spartanburg SC 29306-0000
Phone: (654) 582-2411
Fax: (864) 582-8445
Website:
Map and Directions
Authorized official contact:
Name: Hunter, Marlon
Phone: (864) 582-2817

Health care specialties

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

Profile Details

NPI number 1548528714
LBN Legal business name Regenesis Organization Community Health Center
DBA Doing business as Regenesis Community Health Center
Authorized official Hunter, Marlon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2012
Last updated May 18th, 2020 - about 6 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 1548528714 NPPES
South Carolina MEDICAID FQC121

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